Refund or Credit Form

Customer Information for Refund or Credit
Customer Name / Brokers Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Contact Number

Area Code Phone Number
E-mail
What products did you purchase? Please be specific with prices.
Clients Information that was submitted
If you ordered lines and they have not posted please add your credit monitoring information below, including site used. THIS CANNOT BE A FREE SITE - IT MUST BE A THREE BUREAU REPORT. (This is used for verification purposes)
Cash App Tag
Apple Pay Phone Number
If you prefer services instead of a refund - List services you would prefer below.If you prefer the refund, please list the amount of the refund.
PLEASE BE ADVISED THAT REFUNDS CAN TAKE UP TO 7 BUSINESS DAYS TO PROCESSS. PLEASE BE SURE TO FILL OUT ALL FIELDS SO THAT YOUR FILE CAN BE CHECKED PRIOR TO A REFUND ISSUED. IF YOU DO NOT FILL OUT ALL FIELDS YOUR REFUND MAY BE DELAYED.

THANK YOU
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Customer Information for Refund or Credit