New Horizons International Music Association

Use this form to cancel your registration to the New Horizons Music Camp at Chautauqua 2010. Cancellations made prior to or on September 26, 2010 will be refunded, less a service charge of $50.00 per person. There will be NO REFUND for cancellations after September 26, 2010. Select the appropriate cancellation scenario below.

** = Required Fields

** First Name:
** Last Name:
** E-mail Address:
** Reenter E-mail Address:

** Cancellation Scenario (pick one):		Cancel my registration. I have not yet paid. Cancel my registration. I have paid and today is September 26, 2010 or earlier. Cancel my registration. I have paid and today is after September 26, 2010.

Click the “Submit” button only once. This will send your cancellation notice to Chautauqua. Wait for a message that will appear on screen stating that your cancellation notice has been sent. You will be sent a cancellation confirmation e-mail. Please refer to the contact information in the e-mail for any questions or issues regarding your cancellation and/or refund.