Vending Refund Request Form
Vending Machine Refund Request - please answer all questions so we can process. Thank you!
Please provide your first and last name:
Your answer
Please provide an email address we can reach you at:
Your answer
Please provide a phone number we can reach you at:
Your answer
Preferred method of contact (we will notify you when we have processed your refund)?
Machine Number?
Product Purchased?
Your answer
Product Location? (ie. D4)
Your answer
Date of Purchase?
MM
/
DD
/
YYYY
Time of Purchase?
Time
:
Please explain what happened.
Your answer
Method of Payment (cash, card, Apple Pay)?
If Credit card was used, last four digits of card?
Your answer
Amount of refund requested?
Your answer
Thank you! Click Submit to process your request.
Submit
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