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Location: Refund Request Form

NCV Vending Machine Refund Request Form

NCV Vending strives to offer vending snacks, drinks, and refreshment solutions to the public via cash and credit vending transactions. If you have experienced a transaction with one of our vending machines that is not to that standard, we want to know about it. NCV needs to both fix the broken vending machine to alleviate further problems, and get you an adequate refund. Please use the form below to convey all relevant information about the transaction so we can rectify the situation immediately.

Name:
Company:
City:
Phone:
E-Mail:
Random Number For Security Purposes
Enter the Digits to the Left

REQUIRED		  
Amount of Refund: $
Smart Card or Credit Card affected:
Request Details (Please be Specific):
   

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