Partial ARC Refund

Refund Type*
Agent Name*
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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