Bill credit request form
Complete this form in order to request a credit on your bill. COM must be notified by May 29 in order to receive a credit for June's bill. COM will accept notifications through June 9 in order to receive a credit on the July bill. Credits will not be given if not requested prior to June 9.
Name on Billing statement
Program(s) enrolled in
Lap Swim/Adult Conditioning
Please credit my bill for the month of June. Lap swimmers will receive 1/3 month credit. All other members will receive 1/2 month credit. Please type your name here as authorization.
If we have questions, what is your email address?
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