Credit Request Form

Use this form to request a credit on an invoice. Once we have reviewed and approved your credit request your original invoice will be updated and re-issued. If there are discrepencies, a member from the Hub Team will contact you via email.

Crossroads cannot guarantee a credit if it is submitted more than 72 hours after your invoice has been issued. Please make sure to submit any credit requests within 72 hours of invoice date.

Organization Name *

Begin typing then select your Organization Name

Contact Name *

First Name Last Name

E-mail *

example@example.com

Phone Number *

Area Code Phone Number

ON WHICH INVOICE ARE YOU REQUESTING A CREDIT?

Each credit request must be associated with a specific invoice. The invoice number can be found on the top right corner of your invoice. The invoice number is your order number and invoice version (typically -1). Ex: order number 124 has an invoice number of 124-1

Invoice Number *

Why are you requesting a credit? (Select all that apply) *

I did not receive all of the product listed on my invoice I received the wrong product Other - Please explain in "Additional Comments" section

MISSING PRODUCT INFORMATION

To add additional product, click the "Add More Product" button.

*

WRONG PRODUCT INFORMATION

To add additional product, click the "Add More Product" button.

*

Additional Comments