REFUND REQUEST LOG

Complete the questionnaire below with Requestor

A REMINDER THAT ALL REFUNDS ARE NOT GUARANTEED! WE WILL LOOK INTO THE CASE AND DETERMINE THE FACTORS OF WHETER THE CLIENT IS ENTITLED TO A REFUND. YOU MUST MAKE CLIENT/CUSTOMER AWARE PRIOR TO FILLING THIS FORM OUT THAT ALL SERVICES ARE FINAL SALES AND WE DO NOT ISSUE REFUNDS. WE MAKE YOU AWARE PRIOR TO PURCHASING ALONG WITH OUR TERMS AND RECEIPTS THAT STATE THAT.

Precision Representative:

(your name)

Requester's name

First Name

Last Name

Is the requester the donor?

YES

NO

If not, who is the donor?

service:

Amount

$

Last 4 digits of the card used

Email

Did you process refund?

To Be Determined

Refund Declined

Yes

Reason for refund request?