Customer Service

Vending Refund Form

First Name:

Last Name:

Address:

City:

State:

Zip:

Phone:
( ) -

Email Address:

Date:
,

Machine Number:

Machine Type:

Refund Amount:
$

Location/Description:

Reason for Refund Request

Additional Comments:

For prompt service, please include the vending machine number and the name of the product. If the machine number is unavailable, please describe the machine in the "Location/Machine Description:" field to include cans, bottles, brand, etc...

Thank you for using Vending Services.

Press "Submit" below to submit your refund request.

Royalle Vending Services

"...Delivering Excellence One Vend at a Time."