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Dutch Springs Refund Request Form

for Gift Cards, Unused Admission Tickets and Partially Used Multi-Year Passes

Dutch Springs is offering partial refunds for multi-year passes
and full refunds for unused admission tickets and gift cards via online submission.

 

Refund Procedure:

1- Fill out the below "Dutch Springs Refund Request Form".
           - Please fully fill out all information.  Your refund will not be processed or sent if any information is incorrect or missing.

2- Include a picture of the gift card, pass or ticket with your submission
           - The entire gift card, ticket or pass, including barcode, must be visible and legible for verification purposes.

3- All refunds will be in the form of a Dutch Springs check.  Please allow 8-12 weeks for your request to be processed and your refund to be mailed to the address on the refund request form.

Air fill ticket refunds must be submitted via US mail using the "Air Fill Ticket Refund Request Form" found on the home page of Dutch Springs website.

 

Questions?  Please contact Andrea Scott
via email at andreas@dutchsprings.com -or- via the phone M-F 10am - 4pm at 610-759-2270   
 

First Customer's Name

First Name*

Last Name*

Phone*
First Customer's Date of Birth*
First Customer's Signature*
Second Customer's Name

First Name*

Last Name*
Second Customer's Date of Birth*
Third Customer's Name

First Name*

Last Name*
Third Customer's Date of Birth*
Fourth Customer's Name

First Name*

Last Name*
Fourth Customer's Date of Birth*
Fifth Customer's Name

First Name*

Last Name*
Fifth Customer's Date of Birth*
Sixth Customer's Name

First Name*

Last Name*
Sixth Customer's Date of Birth*
Seventh Customer's Name

First Name*

Last Name*
Seventh Customer's Date of Birth*
Eighth Customer's Name

First Name*

Last Name*
Eighth Customer's Date of Birth*
Ninth Customer's Name

First Name*

Last Name*
Ninth Customer's Date of Birth*
Tenth Customer's Name

First Name*

Last Name*
Tenth Customer's Date of Birth*
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
***Picture Upload of Pass, Ticket or Gift Card is Required for all Refunds***
Multi-Year Season Pass Partial Refund Request
Season Pass Type

Upload a clear photo of the entire pass below.  Name, photo, barcode and barcode number must be visible and legible.

If you have a family pass, please make sure all passes are visible in the one picture.

  
Season Pass(s)- upload picture here
Valid file types: JPG, GIF, PNG, and PDF
Unused Admission Ticket Refund Request

Upload a clear photo of the entire ticket(s) below.  Transaction information, barcode and barcode number must be visible and legible.

  
Admission Ticket(s)- upload picture of your tickets here- Please make sure the barcodes are visible!
Valid file types: JPG, GIF, PNG, and PDF

Upload a clear photo of the entire ticket(s) below.  Transaction information, barcode and barcode number must be visible and legible.

  
Admission Ticket(s)- upload picture of your tickets here- Please make sure the barcodes are visible!
Valid file types: JPG, GIF, PNG, and PDF

Upload a clear photo of the entire ticket(s) below.  Transaction information, barcode and barcode number must be visible and legible.

  
Admission Ticket(s)- upload picture of your tickets here- Please make sure the barcodes are visible!
Valid file types: JPG, GIF, PNG, and PDF
Gift Card Refund Request

Upload a clear photo of the entire pass below.  Name, photo, barcode and barcode number must be visible and legible.

  
Gift Card(s)- upload picture of your gift cards here- Please make sure the barcodes are visible!
Valid file types: JPG, GIF, PNG, and PDF
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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