Cancelation/Refund Request Form

Name*

First Last

For what event are you requesting a refund?*

FORUM
Grassroots
Quad Conference

Registration Order Number*

Original Payment Method*

Debit/Credit
Check
Bulk Registration through my Chapter

Email*

Please provide the email address associated with your AIAS membership.

Phone*

Reason for Cancellation*

Cancellation Confirmation*

I understand that I am cancelling my registration in its entirety and that I will be sent a refund according to the Cancellation Policy of the AIAS (https://www.aias.org/event-policies/)

I agree

Email

This field is for validation purposes and should be left unchanged.