Complete this form to CANCEL your Annual Meeting registration and request a refund. Information provided below should be that of the individual requesting the refund.
Registration fees will be refunded for the amount paid, less a $25 processing fee.
All refunds will be issued in the original form of payment. You will receive a refund confirmation e-mail from PayPal (service@paypal.com) with subject line: Refund from Ohio Health Information Management Association. Check your SPAM folder if you do not receive.
Please indicate whether you paid for your meeting registration by check or credit card in the COMMENTS section of this form.
The deadline to submit refund requests is March 12 2012. No refunds will be given for cancellations received after this date.
Substitution of registrants is permitted without penalty. Simply contact OHIMA and provide the name/title/facility of both the original registrant and the individual attending in his or her place.
Registration fees will be refunded for the amount paid, less a $25 processing fee.
