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Partial ARC Refund
Refund Type
*
Select One
Partial Refund with Penalty
Partial Refund without Penalty
Agent Name
*
Select Name
Charlie
Chris
Di
Jackie
Jamie
Jenna
Joleen
Kari
Katie
Kristin
Lindsey
Lisa
Michelle
Agent Email
*
IS THIS TICKET ON FILE?
*
Yes
No
Company
*
Passenger
*
First
Last
Void Auxiliary Segment (Provide specific info in Comments if needed)
*
Car
Hotel
Limo
Rail
No
Airline Code
*
Ticket Number
*
Tax Breakdown Screen from Script (screen shot)
*
Is this an International Refund?
*
Yes
No
If Yes, is the YR tax Refundable or Non-Refundable
Refundable
Non-Refundable
Partial Refund Amount
*
Penalty Amount (if applicable)
Amount of Refund less Penalty (if applicable)
Comments
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