Genral refund (DOC 238KB)



-731709-498491Request for Refund - GeneralJones Hill State SchoolI,being the parent/carer ofIn year request a refund of $For excursion/activityReason refund being requested : I understand and agree;a refund may not be made to me or be made in full or in part, having regard to the associated expenses already incurred by the school, and the school’s refund guidelines provided to me.the school receipt for the original payment is attached / not attached. (Please circle)my details will be kept confidential and will not be used for any other purpose.my refund be madea credit against my child’s account at the school; orto my bank account via electronic funds transfer (EFT) (please complete details below)Bank Account Details:Account Name: BSB: Account No: Signature: Date:School use only:Amount approved for Refund $Original Receipt NumberApproved: Signature of Principal DateRequest for Refund - GeneralJones Hill State SchoolI,being the parent/carer ofIn year request a refund of $For excursion/activityReason refund being requested : I understand and agree;a refund may not be made to me or be made in full or in part, having regard to the associated expenses already incurred by the school, and the school’s refund guidelines provided to me.the school receipt for the original payment is attached / not attached. (Please circle)my details will be kept confidential and will not be used for any other purpose.my refund be madea credit against my child’s account at the school; orto my bank account via electronic funds transfer (EFT) (please complete details below)Bank Account Details:Account Name: BSB: Account No: Signature: Date:School use only:Amount approved for Refund $Original Receipt NumberApproved: Signature of Principal Date475012689440104465320615486520129561891555588004850765-39189180235712468741265477712391835473 ................
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