Vending Machine Refund Claim

Name*

Email*

Phone

Vending Machine ID

Amount being claimed*

Reason for refund

How did you pay
CashCard

[group group-card]

If you paid by Credit Card, please provide the following details:

Last 4 digits of you card number

[/group]
[group group-cash]

If you paid by cash, please provide the following details:

Address Line 1

Address Line 2

Town/City

Post Code

[/group]

On receipt of a completed form, we will review your claim. Following verification, and depending on how you paid, we will issue a credit card or cash refund.