Community College of Rhode Island

Request for Refund of CCRI Faculty Association Scholarship Fund, INC. Contributions


To: John Ribezzo, Interim Treasurer
CCRI Faculty Association Scholarship Fund, Inc.

I am requesting a full refund ($26) of the bi-weekly payroll deduction that has been contributed to the CCRI Faculty Association Scholarship Fund, Inc.

I understand that this refund will be made in May, the last month of the Fund’s fiscal year.

     
Print Name Sign Name  Date

Please print out, sign and mail to the address below.
John Ribezzo
Interim Treasurer
CCRI Faculty Association Scholarship Fund, Inc.
400 East Ave.
Warwick, RI 02886
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