netSorce  Refund Request

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  Step 1. General information
                      NOTE: Your contact information will only be used so that we may meet your specifications and requirements.
 
*Initials of authorizing party:
*

*First & Last name:

*
*Domain name:
 
*

*Design Number

  *
Company Name:
*

  Client Purchase Order number/Date of P.O:

*
*Email Address:
*
*Confirm Email Address:
*
Overpayment or Refund requested:

 *  

 

                   *Phone Number:

*

 
*fields are required  
 
 

 

 
 

 

If a refund is due and all documentation is in order, a refund check will be sent to you within 45 days of receipt of this submission request.

             Please read and agree to the above Legal disclaimer prior to submission.

                                              

 

 

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