Ticket refund form for ::

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TICKET REFUND FORM FOR

e-tickets bought at www.ticket.targikielce.pl

Please complete the form in block letters

PART I (TO BE FILLED OUT BY THE CLIENT)

TICKET INFORMATION

The ticket owner's name and surname		Ticket number
The event the ticket was purchased for		Date of the event
		Ticket type	Normal / reduced price / discount *
TRANSACTION DETAILS
Payer's name and surname
Payment form		Ticket purchase date
Transaction value (total price of tickets )		Ticket price
BANK TRANSFER DETAILS
The account number to transfer the ticket refund (owned by the ticket purchaser)

The bank account owner's name and surname
The bank account owner's address
City	Postal Code
Street	House / apartment number

* delete as appropriate

The ticket refund will be made via bank transfer to the account indicated in the form within 7 days after receiving the Ticket Refund Form .

I acknowledge I have read and accepted the e-ticket refund procedure information.

………………………………………………….. ………………………………

(Applicant's signature) (Date of posting)

PART II (TO BE FILLED OUT BY TK EMPLOYEE)

The Form has been verified in terms of data and transactions accuracy.

TRANSACTIONS ID IN THE ENTRY SYSTEM 6.0

………………………..……………………………………………………………………………………………………..

..................................................... ..............................................

(signature of the person authorised) (date of the Form receipt )

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