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    MLI Homestay Request For Refund Form

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    Ѕевαѕтіάи
    This document is a request for refund form from MLI Homestay. It contains instructions for submitting a refund request, including reviewing the refund policy, completing the form, and allowing 5-10 business days for processing. The form requests information about the participant seeking the refund such as name, date of birth, nationality, program details, and reason for refund. It also requests refund recipient information including name, address, bank details, and signature.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    MLI Homestay Request For Refund Form

    Uploaded by

    Ѕевαѕтіάи
    24 views1 page
    This document is a request for refund form from MLI Homestay. It contains instructions for submitting a refund request, including reviewing the refund policy, completing the form, and allowing 5-10 business days for processing. The form requests information about the participant seeking the refund such as name, date of birth, nationality, program details, and reason for refund. It also requests refund recipient information including name, address, bank details, and signature.

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    MLI Homestay Request for Refund Form

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    This document is a request for refund form from MLI Homestay. It contains instructions for submitting a refund request, including reviewing the refund policy, completing the form, and allowing 5-10 business days for processing. The form requests information about the participant seeking the refund such as name, date of birth, nationality, program details, and reason for refund. It also requests refund recipient information including name, address, bank details, and signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    24 views1 page

    MLI Homestay Request For Refund Form

    Uploaded by

    Ѕевαѕтіάи
    This document is a request for refund form from MLI Homestay. It contains instructions for submitting a refund request, including reviewing the refund policy, completing the form, and allowing 5-10 business days for processing. The form requests information about the participant seeking the refund such as name, date of birth, nationality, program details, and reason for refund. It also requests refund recipient information including name, address, bank details, and signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Request for Refund

    INSTRUCTIONS
    1. Please review the Payments and Refund Policy to determine eligibility for refund.
    2. Complete this form – this is a fillable form that can be saved and printed.
    3. Submit completed form to MLI Homestay via:
    • Email at [email protected]
    • Fax to 416-646-5406
    • Mail to MLI Homestay – 415 Yonge Street, Suite 1201 Toronto ON M5B 2E7

    4. A representative of MLI Homestay will contact you to discuss your request.


    5. Please allow 5-10 business days for processing of the Request for Refund form.

    PARTICIPANT INFORMATION
    SURNAME GIVEN NAME(S) DATE OF BIRTH (YYYY/MM/DD) NATIONALITY

    Iriarte Malfanti Iñigo ______/___/___


    2006 12 01 Chilean
    PROGRAM LOCATION SCHOOL IN CANADA PROGRAM START (YYYY/MM/DD) PROGRAM END (YYYY/MM/DD)

    Burnaby, BC Burnaby South Secondary ______/___/___


    2022 08 28 ______/___/___
    2023 01 20
    REASON FOR REFUND
    Cacellation. Change of Provider

    REFUND RECIPIENT
    REFUND RECIPIENT: ✔ PARTICIPANT AGENT PARENT
    NAME OF RECIPIENT TELEPHONE EMAIL
    Northwest Homestay and Student Agency 604-628-8491 [email protected]
    ADDRESS OF RECIPIENT BANK NAME BANK ADDRESS INCLUDING COUNTRY
    304 - 8508 Rivergrass Drive Central 1 Credit Union 1900, 13450 - 102 Ave, Surrey
    Vancouver BC V5S 0H7 BC V3T 5Y1 Canada
    BANK SWIFT CODE

    CUCXCATTVAN
    ACCOUNT NUMBER BANK NUMBER TRANSIT NUMBER

    041000064253 0809 30190


    If the wire transfer will be cleared through another bank (a correspondent bank), please complete
    CORRESPONDENT BANK NAME CORRESPONDENT BANK ADDRESS

    CORRESPONDENT BANK SWIFT CODE

    Head Office: 415 Yonge Street, Suite 1201 Toronto ON M5B 2E7, Tel: (416) 646-5405 / Fax: 416-646-5406
    North Vancouver Office: 408-197 Forester Street, North Vancouver, BC V7H 2M9, Tel: (604) 904-9488 / Fax: 604-904-9485
    [email protected] – www.mlihomestay.com

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