Refund Request Form

Our refund policy can be found here: https://www.qalam.institute/refund-policy

Transaction Information
Order date Order date / MM / DD YYYY
Amount Paid
Refund Request Date Refund Request Date / MM / DD YYYY
Refund Request Type

Refund Request Type Full Partial
What is this refund for?
Contact Information
Name Name First Last
Phone Number
Email

Confirm Email Address
Refund Process

How would the customer like their refund?
Refund Process Type

Refund Process Type Stripe PayPal Check
Transaction Number
Mailing Address Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country