Refund Request Form For Customers & Staff Please fill out the form below as best as you can. One of our team members will be in touch with you ASAP to help resolve any issues you may be having. Vending Refund Request FormFirst NameLast NameEmail AdressCompany NameDate of IncidentTime of IncidentLocation / Address of Equipment- Select machine type -- Select machine type -Snack MachineDrink MachineItem that was lostAmount requested for refundDescription of issuePayment method used- Payment method used -CashCredit CardAppOtherHow would you like a refund?- Select -Cash AppVenmoPayPalCash App IDVenmo IDWhat is the email associated with your PayPal account?Submit Form