Wreath Makers Live
Refund Request

Jury duty which the attendee was unaware of at the time of registration.

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* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Name of Registration Purchaser

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* 3. Registration Price Paid (in USD)

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* 4. Registration Number

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* 5. Date Purchased

Date

Date

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* 6. When did you become aware that you would not be able to attend the Event Please provide all details.

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* 7. Please be advised we require a letter from the court requiring your presence for jury service. Upload the required documents below.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 8. When were you notified you were scheduled for jury service?

Date

Date