Greenbank Sports Academy – Liverpool Refund Request Form - Greenbank Sports Academy

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
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
Year * REQUIRED
Expiry Date
Month * REQUIRED
Year * REQUIRED