Module Cancellation Form |

NARHC MODULE CANCELLATION/TRANSFER REQUEST FORM

Please review the cancellation/transfer terms on the Module page prior to filling out the form. If more than one attendee from your organization is cancelling/transferring, a form will need to be filled out per person.

Please note, if your registration fees were paid via a credit card, any refunds less the processing fee will go back on the credit card within 24-48 business hours. If fees were paid via check, a refund request order will be sent to our AP Department for processing and mailing.

Things to Note:

Refunds only apply to the Module registration fee.
All refunds will incur a $25 admin fee.
If you transfer to a future course session, you will not be able to cancel and receive any refunds once that transfer is complete.

If you are transferring the registration from one attendee to another, please indicate below in the form and fill out a registration form for the new attendee (can be found on the course page). Please note: You can only transfer to the immediate future Module (ex: You are registered for Spring Module, you can only transfer to the Fall Module and not any future course/Module).

Questions? Contact us at academy@narhc.org

*Required field(s) are indicated by an .**
* First Name
* Last Name
* Email
* Please indicate the following:	If course has already been accessed, you are unable to transfer to a different attendee.
If you are requesting to transfer to a different attendee, please let us know their first name, last name and email address.
* Reason for cancellation/transfer:
Check to be made out to:
Mailing Address
Mailing Address 2
City
State
Zip Code
* I have read and agree to the cancellation policy terms.
	Check if you're not a robot.