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Application for Ticket Refund - MTA

Validation Application for Ticket Refund ATTACH To Be Completed Print Legiblyby Customer: Ticket (S). Please HERE. I hereby certify that I am the original purchaser of the below described Ticket (s). Application for Refund is made with the full knowledge that it would be a violation of law for me to obtain a Refund on the whole or any part of the Ticket (s) on which passage has been obtained whether or not the Ticket (s) has (have) been validated to indicate use. Full Name: Address: Apt#: City: State: Zip: Email Address: Daytime phone: Cell: Reason for non-use*: I hereby acknowledge that a $ processing fee will be applied to each Application for Ticket Refund submitted.**. Signature of Applicant: Ticket Number Ticket Type Destination Destination From To 1.

Application for Ticket Refund TPole aBsee C Porimntp Lleetgeibdl yby Customer: I hereby certify that I am the original purchaser of the below described ticket(s).

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  Applications, Ticket, Refund, Application for ticket refund

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