Learner Membership Extension and Refund Learner Membership Extension and Refund This form is for use by Hub Coordinators to initiate a refund or extension of a Learner's membership. The related Learner Membership Refund and Extension Policy document is located on the Nextcloud server in the Hub Coordinator's Policies folder. Submit Date: Hub * HC Email HC FN HC LN Request for Membership * Refund Extension Extension (months) * 1 2 3 Please provide the following Member details. Mbr No * First Name * Last Name * Email * Phone Date Paid * Rationale * The Member's bank account details are required to be able to refund their membership. Bank * Account Name * BSB * Account Number * Mentor Assigned * Yes No Who * When * How many hours of lessons were provided * 0 1 2 3 4 5 6 7 8 9 10 11 12 Mentor's Comments * Why * Submit
