ContractRefund Agreement • July 25th, 2024
Contract Type FiledJuly 25th, 2024REFUND REQUEST FORMREFUND AGREEMENT This AGREEMENT (the “Agreement”) is made and entered into by and between the Town of Rondaand the customer named below.This form must be filled out COMPLETELY and returned to the Town Clerk at the Town of Ronda to ensure proper refund and/or credit. The Town of Ronda shall refund the DEPOSIT / INSTALLATION fee(s) to the Customer once this letter has been executed by the Customer and received by the Town of Ronda. Requested By: Amount to be refunded: Signature: Date: Phone Number: Email: Payable To: Address: Phone Number: Email: Reason for Refund: Please return this completed form to: Town of Ronda ATTN: TOWN CLERK123 Chatham St | PO 398 | Ronda, NC 28670 administration@townofronda.org FOR OFFICE USE ONLY REFUND AUTHORIZED BY: Andrea Stevens TITLE: Town Clerk