ASN 2020 Refund Request
Complete this form to request a refund for your registration for the ASN 2020 meeting in St. Charles, MO. PLEASE NOTE: If you are cancelling your registration, your abstract will also be cancelled as well.  Refund requests must be received by May 30.  On June 1, all registrations still in our system will automatically be applied to the next ASN meeting in Roanoke, VA (March 20-24, 2021)
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Email *
Registered Attendee's Full Name *
University/Institution Name *
Date of Charge *
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Name of cardholder *
Original payment method *
Credit Card Refunds
Credit card charges posted more than 120 days prior to today are no longer eligible for refunding to the card used, due to merchant account processing restrictions.  If your payment was made >120 days ago, we will need to issue a check for your refund.  Please provide the requested details below to assist us in this process in the event we cannot refund directly to your credit card.  **NOTE: PAYMENTS MADE BY UNIVERSITY/INSTITUTIONS MAY NOT BE REFUNDED TO INDIVIDUALS.  You must provide a correct university name, department, and mailing address for sending the reimbursement check**
Make check payable to: *
Full Address to mail check to (Please include Dept., etc.) *
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