Refund Request Form "*" indicates required fields Refund DetailsLocation*Select a LocationFrederick AveMoravia RdMachine Number*Please Select an OptionCurrency Exchange CenterVending SnackVending Soap1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950OtherPlease include the machine number here so that we can repair the issue for others. The machine number can be found on the front of each unit.Refund Amount Request* A Bit About YouYour Laundry Card # Please enter your laundry card number here so that we can issue your refund directly onto the card.Name* First Last Email* PhoneAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CAPTCHA Δ
