Request for refund



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Date10.08.2017
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Continuing EdUcation REQUEST FOR REFUND

please print clearly and attach a copy of your receipt


(All Application Fields Must Completed to Process Your Refund)

Name:

Current address:

City:

State:

ZIP Code:

State of Residency:

County of Residency:

Email:

Date of birth:

(Required to process application)

SSN:

(Required to process application)

Day Phone:

Cell Phone:

Fax #:

Course Information

Name of Course:

Course Registration Date:

Reason for Request:










Amount of Refund:$

Signature

Signature of Requester:

Request Date:

OFFICIAL USE ONLY

APPROVED:

Approval Date:

Geraldine Anderson, Secretary, Continuing Education

CRN #:

Term:

FY:

Staff initials:

Student ID:




CONTINUING EDUCATION DEPARTMENT – ATLANTA TECHNICAL COLLEGE

1560 Metropolitan Parkway, S.W., Room D1102, Atlanta, Georgia 30310 (404) 225-4487




Please fax your refund request to 404-225-4631 or email it to ce@atlantatech.edu.


Equal Opportunity Institution

Refund Policy:

Each course is carefully monitored to ensure sufficient enrollment. Students will be notified at least 48 hours prior to the start of class. Should low enrollment cause a class to be cancelled students will be given the following options:



  • Receive a full refund

In the event you need to cancel your registration, you must submit a refund request form (to download this form, please visit our website at www.atlantatech.edu/education/index.php) to our office no later than three (3) days prior to the start of your class in order to receive a refund. All refund requests are subject to a $15 processing fee. Please allow up to four (4) to six (6) weeks for refunds to be processed. Check refunds are subject to a ten day business hold from the date of the check to ensure the funds have cleared our bank. Failure to attend the course DOES NOT constitute formal withdrawal.




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