Refund Form
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Full Name
*
Contact Number
*
Machine ID
*
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Please include the correct Machine ID, which is shown at the top-left corner of the vending machine screen.
Machine Location
*
Payment Method Used
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Select payment method
E-wallet
Card
Cash
Product Slot
*
Payment Receipt/Proof
*
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Upload Payment Evidence (Up to 3 files)
E-wallet receipt, bank notification, or transaction screenshot
Supported: JPG, PNG, PDF (Max 10MB each, 3 files max)
Issue Description
*
Bank Account Details for Refund
Please provide your bank account information to process the refund.
Bank Name
*
Account Holder Name
*
Account Number
*
Submit Refund Form