Request for a Refund or Program Cancellation

To submit your request, please answer all questions. You'll receive a confirmation at the end of the questionnaire that your request has been submitted.

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Question 1 of 11

Full Name:

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Question 2 of 11

Email:

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Question 3 of 11

Phone Number:

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Question 4 of 11

Program Purchased:

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Question 5 of 11

Date Program Purchased:

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Question 6 of 11

Amount Paid:

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Question 7 of 11

Which Coach registered you?

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Question 8 of 11

Reason for Cancellation:

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Question 9 of 11

Is there any thing we can do to have you stay with us on this journey?

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Question 10 of 11

Please provide any feedback you have, and what we can improve to provide you with excellent service.

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Question 11 of 11

Please upload a screenshot of the payment you're requesting the refund for, or of any previous refund/cancellation requests.

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