top of page
®
MEN
MEANS
of
HOME
MASTERMIND
EVENTS
FOUNDER
More...
Use tab to navigate through the menu items.
This form must be completed by the Men of Means Sponsor only
Member Name:
*
Sponsor Name:
Tribe Name:
Date of Last Charge:
*
Month
Day
Year
Dispute Amount:
*
Reason for Refund Request:
*
What Measures Have You Taken to Ensure We Can Provide Service as Support to a Refund:
*
What Can We Do to Prevent the Member from Leaving:
*
Any Other Feedback:
Sponsor Name & Date:
Signature:
*
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date:
*
Month
Day
Year
Submit
bottom of page