REFUND REQUEST FORM
Type Of Client
*
Please Select
Internal (Zooks)
External (Migrated From Malibu Inc.)
Customer Name
*
Date
*
-
Month
-
Day
Year
Date
Model Name (If There's Any)
Processed By
To Be Filled By
Assigned Representative
Reference Number
*
Kindly Get It From The Authorize Representative
Amount of Refund (CAD)
*
Input The Amount of Refund Provided
Amount of Required Fee To Pay (CAD)
*
Kindly Visit https://zoosksocial.com/tools and follow instruction
Reason For Refund
*
Please Select
Payment Error
Excess Payment
Un-used Service
Support Documents
*
Browse Files
Cancel
of
Approved by
First Name
Last Name
Signature
*
How Will You Pay The Refund Fee?
*
Please Select
Bank Transfer
PayPal
Skrill
How Would You Like To Receive The Refund?
*
Please Select
Bank Transfer
PayPal
Skrill
Fill The Option Below
Speed Type Of Transfer
Please Select
Immidiate
Standard
Bank Interac-E
Input Your Unique Email
PayPal
Input Your PayPal Email
Skrill
Input Your Skrill Email
Terms To Pay The Refund Fee
*
Please Select
Straight Payment (0%)
Target Date To Pay
*
Please Select
Immediate
Custom
For Custom Payment Please Reach Out Customer Support
Target Date To Pay
*
-
Month
-
Day
Year
Date
Submit
Submit
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