Refund request

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Dear intended Future of Butterflies participant,

With regard to the refunding of your costs concerning the cancellation of the live symposium 2020, please fill in the information below, so that we may proceed to refund your payment:

Name and adress data & refund

Please fill in you name and adress data here. Then proceed to 'EU-resident' or 'Non EU-resident' to fill in your bank account data.

Name *

Organization

Address *

Postal code & City *

Country *

Refund amount asked € *

EU-resident

If your bank is in the EU, please fill in your bank data here.

Account Name

IBAN

BIC-CODE bank

of your bank

Non EU-resident

If your bank is non in the EU, please fill in your bank data here.

Account Number

Bank Adress

Account Name

Bank Name

Outside the EU bank costs apply. You can choose the following options: