CCRI Faculty Association
Request for Refund of Scholarship Fund Contributions
To: John Ribezzo, Interim Treasurer
CCRI Request for Refund of Scholarship Fund Contributions, Inc.
I am requesting a full refund ($26) of the bi-weekly payroll deduction that has been
contributed to the CCRI Request for Refund of Scholarship Fund Contributions, Inc.
I understand that this refund will be made in May, the last month of the Fund's fiscal
year.
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Print Name | Sign Name | Date |
Please print out, sign and mail to the address below.
John Ribezzo, Interim Treasurer
CCRI Request for Refund of Scholarship Fund Contributions, Inc.
400 East Ave. Warwick, RI 02886