Refund Form

You have the option of receiving a physical check or wire transfer for your refund. If you choose the wire transfer option, a fee of $25 will be deducted from your refund.

Refund Disbursal Option: * 🛈

Check (only for U.S. address)

Wire Transfer (only for International address)

Select Property: * 🛈

The QUAD

The UVA

First Name *

Last Name *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Country *

Email Address *

Wire Transfer Information

Bank Name

Bank Account Name *

Bank Address *

Bank City *

Bank Country

Bank Postal Code

Bank SWIFT Code * 🛈

Bank Account Number *

IBAN Number * 🛈

Signature *

clear