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Refund Request

 

 

 

Florida Counseling Association

 

 

 

REFUND REQUEST

 

1. Fill out on-line form completely, ensure all information is accurate and dollar amount in balance

 

2. Only one form per person

 

3. Only one form per reimbursement

 

4. Email or mail supporting documentation, along with payment receipt, to either:
       *fcaoffice@flacounseling.org
       *PO Box 4474, Deerfield Beach, Florida 33442

 
5. Leave area blank if not applicable.

6. Provide applicable information below label question.  Read label question carefully.
7. Labels indicated with an asterisk (*) must be completed.


SCROLL DOWN TO COMPLETE FORM
ENTER VALIDATION CODE and CLICK "SUBMIT" AT END OF FORM TO BEGIN PROCESSING

 

 




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