Lead Dispute Form
Refunded leads will be contacted. Misuse of the refund policy will remove you from the Augusta Leads Partner Program.
What was the customer's name?
When did you receive the lead?
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Month
-
Day
Year
Date
Your Name
First Name
Last Name
Your Email
example@example.com
Dispute reason
Out of service area
Incorrect services
Unauthorized transaction
Duplicate charges
Incorrect amount
Upload any document that is related to the dispute
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of
Explain reason for refund in detail. Refunded leads will be contacted. Misuse of the refund policy will remove you from the Augusta Leads Partner Program.
Authorized Signature
Date Signed
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Month
-
Day
Year
Date
Submit
Submit
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