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

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 *

First Last

Organisation

Address *

Street Address Address Line 2 City Post Code

Email *

Telephone *

Refund Details

Please indicate the booking date/gym membership number and original method of payment (Cash/Card) if known:

Date of booking *

DD

MM

YYYY

Time *

: HH

MM

Payment Method *

Cash
Credit / Debit Card
Cheque
BACS

How do you want to receive your refund? *

Card
BACS

Cardholder Details

Name *

First Last

Card Number *

CVV Number *

Last three digits on the back of your card

Issue Number

Valid From

Month *

Year *

Expiry Date

Month *

Year *

Bank Account Details

Name of Account Holder *

First Last

Name of Bank *

Sort Code *

Account Number *

Confirmation *

I am the registered Cardholder / Account Holder of information being submitted for refund.
The refund being requested is subject to the Card Terms and Conditions of Use. My refund may be refused if the information I have provided is inaccurate or incomplete.

We may need to contact you for further clarification or information before any refund is processed. You will be notified by email when your refund has been processed. Please allow up to 4 weeks. If you have questions please email mark.palmer@greenbank.org.uk or call 07576275846

Consent *

We collect and processes information to enable us to provide the service requested. GDPR requires Greenbank College obtain your agreement before this can be done. Any information you give will be processed under the rules and safeguards laid down by GDPR regulations. Greenbank has procedures in place to ensure that all information held about you will be dealt with confidentially, held securely and only processed in accordance with Greenbank’s notification to the Information Commissioner, who administers GDPR.

I agree with the storage and handling of my data by this website.

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