Accessibility help
Site map
Text size:
Colour Scheme:
Search
Pages
Home
COVID-19 Updates
Gym
Inclusive Sport & Activity Programme
Empower Project
Activities for Children
Facilities
Sports Hall
Conference Rooms
Refund Request Form
What's On
News
Newsletter
About
Opening Times
Support us
Job Vacancies
Useful Links
Contact us
Want to keep in touch?
Sign up to our newsletter ยป
Refund Request Form
Please use this form to request a refund for any bookings for sports hall hire, parties and private functions or conference room hire that could not go ahead due to the temporary closure of Greenbank Sports Academy from 20 March.
Customer Information
Name
*
REQUIRED
First
Last
Organisation
Address
*
REQUIRED
Street Address
Address Line 2
City
Post Code
Email
*
REQUIRED
Telephone
*
REQUIRED
Refund Details
Please indicate the booking date/gym membership number and original method of payment (Cash/Card) if known:
Date of booking
*
REQUIRED
DD
MM
YYYY
Time
*
REQUIRED
:
HH
MM
AM/PM
AM
PM
Payment Method
*
REQUIRED
Cash
Credit / Debit Card
Cheque
BACS
How do you want to receive your refund?
*
REQUIRED
Card
BACS
Cardholder Details
Name
*
REQUIRED
First
Last
Card Number
*
REQUIRED
CVV Number
*
REQUIRED
Last three digits on the back of your card
Issue Number
Valid From
Month
*
REQUIRED
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
REQUIRED
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Expiry Date
Month
*
REQUIRED
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
REQUIRED