AGSB Refund Request

Please complete the following information to enable us to make a payment to you.

Reason for refund* Total amount to be claimed for:* Please upload a copy of the receipt for the items purchased. No file chosen Pupil Forename:* Pupil Surname:* Parent/Carer Name & Address:* Bank Account Full Address:* Account Name:* Account Number:* Sort Code: Your email address:*

In submitting this form you agree to your data being held by The Hamblin Education Trust (Altrincham Grammar School for Boys) in order to process a BACS payment into your nominated account. If you have a query relating to the payment please contact: finance@agsb.co.uk .