Fayetteville Technical Community College

Request for Graduation Fee Refund

Complete & submit this form to request a Graduation Fee Refund.
You are eligible for a refund only if multiple fees were paid for degrees or diplomas.
The total refund for previous orders will be minus one $25 graduation fee.

Personal Information
First Name:	A value is required.
Last Name:	A value is required.
Address:	A value is required.
City:	A value is required.
State:	Please select an item.
Zip Code:	A value is required. Invalid format.
Phone Number:	A value is required. Invalid format.
Email Address	A value is required. Invalid format.
Student ID Number:	A value is required. Minimum number of characters not met. Exceeded maximum number of characters. Invalid format.
Refund Information
Receipt Number:	A value is required. Invalid format.
Reason for requesting refund:	A value is required.
Please make a selection.	Selecting this checkbox verifies that you agree any the terms & conditions; plus the correct information is listed to process this request.