EmailMeForm
Customer Refund Request
Please fill in all information and upload a copy of receipt or any other supporting documentation available.
Name of Manager Submitting Request
*
First
Last
Store Number
*
Store Email (for refund receipt)
*
Date of Transaction
*
MM
/
DD
/
YY
Type of Transaction
*
Online
Phone
In-shop/Drive-thru
Check Number or Online Order Number
*
Last 4 of Card Number Used
*
Amount of Original Transaction (excluding tip)
*
Amount of Tip (if applicable)
***ONLY ENTER IF THERE IS A TIP APPLIED TO THE ORDER, OTHERWISE LEAVE BLANK
Amount of Refund Requested (including any tip to be refunded)
*
Reason for refund or any additional requests/info
Copy of Receipt/Supporting Documentation
*
Add File
Please make sure the payment portion of the receipt is showing if available.
