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Refund Request Form
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Refund Request Form
Anti-Fraud Warning
Privacy Policy
Policy Terms & Conditions
Contact Us
Attendee & Exhibitor Refund Request Form
dosekeez
2017-11-07T11:50:26+00:00
Attendee & Exhibitor Refund Request Form
Please be advised we require at least one piece of supporting evidence along with your registration or invoice for proof of purchase. The form cannot be submitted unless all required fields are completed.
Any incomplete responses or failure to provide the required documentation may result in a delay reviewing your claim.
You may review the Policy Terms & Conditions by following the link in the top menu.
If you experience technical difficulties, please click contact us in the top menu.
Claim No.
Reason for Claim
*
Select One
Unexpected disruption to public transportation network
Death, injury or illness
Mechanical breakdown, accident, fire or theft of a motor vehicle or public transport
Jury service
Burglary or fire at your residence
Summoned to appear in court as a witness
Called for Active Military Duty overseas
Adverse weather that prevented your attendance due to a travel warning
Relocated for work more than 100 miles from current work address
Employment unexpectedly terminated
File Upload
Drop files here or
Accepted file types: jpg, gif, png, pdf.
Max file size is 30MB. Five file maximum.
Please be advised we require a copy of the disruption notice from the transportation network. Upload the required documents above.
Details of those in your party affected
Include name(s), phone number(s) and e-mail address(es)
Details of the journey including specific transportation network or service disrupted
Details of disruption
Include as much detail as possible
Please be advised we require a death certificate or doctor’s note confirming the details. Upload the required documents above.
Name of person who suffered the death, injury or illness
First
Last
Relationship to you
Nature of accident or illness
If illness, when was it first diagnosed?
If accident, how and when did the accident occurred?
Include as much detail as possible
Why did this incident prevent this person from attending the event?
Please be advised we require a vehicle recovery service report or copy of garage repair bill or Police Report. Upload the required documents above.
Details of the individuals in the vehicle
Include name(s), phone number(s) & e-mail(s)
Details of journey
Location of Incident
Date of Incident
Time of Incident
:
HH
MM
AM
PM
Details of Incident
Please be advised we require a letter from the court requiring your presence for jury service. Upload the required documents above.
When were you notified you were scheduled for jury service?
Please be advised we require evidence from emergency services (such as a Police Report) or a letter from your insurance company that you suffered a fire or burglary within 48 hours prior to the event commencement. Upload the required documents above.
Date of Incident
Details of Incident
Details regarding the circumstances of why you were not able to attend
Please be advised we require a letter from the court requiring your presence as a witness. Upload the required documents above.
Please be advised we require a letter from your commanding officer confirming you have been called for active duty overseas. Upload the required documents above.
When were you notified you would be called to active duty overseas?
Please be advised we require weather details from the National Weather Service website and/or confirmation of weather warnings from your local authorities. Upload the required documents above.
Details of those in your party affected
Include name(s), phone number(s) and e-mail address(es)
Details of the journey
Details of extreme weather
Please be advised we require a letter from your employer confirming your permanent relocation including date you were requested to relocate. Upload the required documents above.
Where are you relocating to?
Contact details of your employer including your immediate superior (name, phone & e-mail)
Your Details
Name
*
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Email
*
Enter Email
Confirm Email
Phone
Details of Booking
Name of Registration Purchaser
First
Last
Registration Price Paid (In USD)
Registration Number
Date Purchased
Event Name
Event Venue
Event Start Date
When did you become aware that you would not be able to attend the Event?
Please provide all details.
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