CSA Show Ticket Refund Request Form First Name Last Name Email Name of the performance: Date and time of the performance: Enter the seat number(s) that are included in this refund request. Justification for Refund Request I understand that tickets for this event are non-refundable and that by submitting this form I am requesting special consideration from the event host due to extenuating circumstances. Yes I understand that any refund issued will not include service or convience fees paid. Yes 4 + 3 = Send