Order Refund Authorization Form

Creating Lasting Memories Through Beautiful Photography.

Order number, items and amounts, reason code, policy basis, refund method, approver signature, and processing date.

BTL-PBL-21.019

Form

Vol 21 — E-Commerce, Memberships & Gift Cards

Header

Client / Project *

Date *

Prepared by *

Purpose *

Line 1

Line 2

Line 3

Line 4

Line 5

Additional notes

Prepared by *

Signature *

Date *

Prepared by

Name · Title · Date

Reviewed by

Name · Title · Date

Approved by

Owner · Katheryn L. Wilkins · Date

Controlled document — BTL-PBL-21.019. Complete all required fields (marked *). Retain per Volume 15 retention schedule.