REFUND REQUEST FORM
Full name on the credit card used:*
Last four digits of the credit card:*
Zip Code:*
Date of purchase:*
How many statements were identified as "potentially problematic" as a result of the responses provided by the man?*
How many statements were identified as "potentially problematic" as a result of the responses provided by the woman?*
What did you find lacking in the counseling insights?*
Phone number:*
Email address:*

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Money Back Guarantee - Refund Policy

Within 30 days of ordering the program, a couple that feels they have not gained any new insights into their relationship and have not been helped by completing the Relationship Inventory and using the Counseling Insights can receive a refund of their purchase price (less a $5.00 credit card refund processing fee). The refund will be deposited into the same account from which it was withdrawn. Refund requests must be dated and submitted within 30 days of purchase. Please allow 2-5 business days for the refund to appear in your account.