Membership refund form

Membership type

Member category

Student number or staff payroll number?

Name

First name

Last name

Email

Date of purchase

Receipt number if known

Amount paid

Reason for refund

Students and staff:

All student refunds will be processed to the account details provided via your student central account, please check this is correct. For staff this will be via your normal payroll account. You can now submit this form.

Community

How did you make the original payment?

We will be in touch for further information accordingly from a @brighton.ac.uk email address. See terms and conditions for more information on refund eligibility and rules. Make special note that a 25% admin fee is retained from fixed term membership refunds. This is to take account of the discount you would have had based on purchasing a minimum term. Data from this form is used to process your request. See our Privacy Notice for further information as to how we treat your data.