request for refund or to terminate the services.
please fill out the form one month before you plan to stop the services, this will be treated as one months notice and process the refunds if any.  
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Student Name *
Parent Name *
Email id used to pay using Paypal
contact number *
Join Date *
MM
/
DD
/
YYYY
Plan to Discontinue the services (one month notice date, the services will be terminated and refund will be processed if any) *
Mode of payment (Check / PayPal) provide the details. (PayPal Transaction ID and associated email address) *
Estimated refund
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