This form is now disabled for the 2022 season because the deadline to document co-op hours has passed.


From the refunds page:

In order to receive a refund of your co-op deposit, please:
1) Complete and document your membership’s co-op service by October 31Please note: No partial refunds will be given so your entire membership’s hours must be completed in order to receive the refund.
2) Request your refund by sending an email to refunds(at)pgpool(dot)org. Please include your membership number. Deposits cannot be refunded if the request is received after November 15 or the membership’s complete requirement is not completed.