以下是一份外汇退款协议的英文模板（仅供参考，具体条款需根据实际情况调整并由法律专业人士审核）：

FOREIGN EXCHANGE REFUND AGREEMENT

This Foreign Exchange Refund Agreement (Agreement) is made and entered into as of [Date], by and between:

Refund Recipient (Party A):
Name: [Full Name/Company Name]
Address: [Address]
Contact: [Email/Phone]

Refund Payer (Party B):
Name: [Full Name/Company Name]
Address: [Address]
Contact: [Email/Phone]

1、Purpose
Party B agrees to refund Party A the amount of [Amount in Original Currency] ([Currency Code], e.g., USD) originally transferred on [Original Transaction Date], due to [Reason for Refund, e.g., cancellation of services]、

2、Refund Amount & Currency
Original Amount: [Amount] [Currency]
Refund Amount: [Amount] [Currency] (Note: Specify if any fees are deducted)
Exchange Rate: The refund shall be processed at the exchange rate of [Rate] as of [Date], unless otherwise agreed、

3、Refund Method
Party B shall transfer the refund to Party A’s designated account within [Number] business days:
Bank Name: [Bank Name]
Account Number: [Account Number]
SWIFT/IBAN: [Code]

4、Representations & Warranties
Both parties confirm they have legal authority to enter this Agreement、Party B warrants sufficient funds for the refund、

5、Liabilities
Party B shall bear all transaction fees unless otherwise stated、Delays caused by incorrect account information provided by Party A shall be Party A’s responsibility、

6、Governing Law
This Agreement shall be governed by the laws of [Jurisdiction]、Disputes shall be resolved in [Court/Arbitration Institution]、

7、Entire Agreement
This document constitutes the entire agreement between the parties、

IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date first written above、

Party A (Recipient):
Signature: ___________________
Name/Title: ___________________
Date: ___________________

Party B (Payer):
Signature: ___________________
Name/Title: ___________________
Date: ___________________

注意事项：
1、法律审查：跨境退款可能涉及外汇管制、税务等问题，务必咨询专业律师或金融机构。
2、条款细化：根据实际情况补充手续费承担、退款时限、不可抗力等条款。
3、合规性：确保符合中国《外汇管理条例》及收款方所在国法律。

如需进一步定制，请提供具体交易背景或要求。