Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
#1 Refunding Empire Service
Fill in the details that were used when when placing the order.
After filling in this form, you will be contacted as soon as possible.
Telegram: @EmpireRfs
Join the group:
https://t.me/refundinglobby
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Join us on telegram!
t.me/refundinglobby
Telegram username (double check this)
*
Your answer
Email used to order
*
Your answer
Full name
*
Your answer
Address
*
Your answer
Billing address (if different)
Your answer
City
*
Your answer
Zip code
*
Your answer
State
*
Your answer
Country
*
Your answer
Store name
*
Your answer
Order total
*
Your answer
When did it arrive?
*
MM
/
DD
/
YYYY
Order number
*
Your answer
Tracking number (track and trace)
*
Your answer
How was the package received?
*
Real signature
Fake signature
No signature
Left at door / porch
Forum profile link (Nulled.to/Cracked.to/Etc)?
Your answer
Any information that might be important?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
