LHS 75th Reunion Refund Request FormPlease complete and submit the form below by November 16, 2020, to be eligible to receive your refund.Refund Request formSubjectLHS REUNION REFUND REQUESTContact Information:Name used to purchase ticketsEmail address used at time of ticket purchase (for e-transfer payment). NOTE: If you wish to use a different email address for refund, please explain and include it in the additional message section at bottom of form. You *must* provide original email address used for purchase of tickets so that we may locate your payment record(s)Phone NumberTickets Purchased‘Leaside Live’ event tickets will be refunded at full value. Gala Banquet tickets will be refunded at 85% of the value of your ticket price. Please complete the information below for the number of tickets you have purchased.Leaside Live tickets purchasedTickets were $15 and are refunded in full."Leaside Live" event number of tickets purchased- Select -1 x $15 = $152 x $15= $303 x $15= $454 x $15= $605 x $15= $756 x $15= $90Gala banquet tickets purchasedPlease make sure that you select the correct category. These tickets are refunded at 85%. Early bird tickets: $125 x 85% = $106.25 eachDiscounted tickets: $150 x 85% = $127.50 eachRegular tickets: $165 x 85% = $140.25 eachEARLY BIRD tickets purchased- Select -1 x 106.25 = $106.252 x 106.25 = $212.503 x 106.25 = $318.754 x 106.25 = $425.005 x 106.25 = $531.256 x 106.25 = $637.50DISCOUNTED tickets purchased- Select -1 x 127.50 = $127.502 x 127.50 = $255.003 x 127.50 = $382.504 x 127.50 = $510.005 x 127.50 = $637.506 x 127.50 = $765.00REGULAR tickets purchased- Select -1 x 140.25 = $140.252 x 140.25 = $280.503 x 140.25 = $420.754 x 140.25 = $561.005 x 140.25 = $701.256 x 140.25 = $841.50Total Refund = Leaside Live + Gala Banquet ticket purchases$Refund Options:Please indicate below your choice for your refund:Option 1 E-transfer full refund total (noted above) to my email address provided. The security question to access the e-transfer payment is: “On what street is the high school located?” The answer is: Hanna.Option 2 Please donate 100% of my refund to the Alumni Scholarship Fund.Option 3 Please donate 100% of my refund to the LHS Alumni Association to be used for ongoing operating costs (e.g. website) and/or to be used as seed money for the next reunion.Additional MessageSubmit FormShare this on: Share on X (Twitter) Share on Facebook Share on Email
