Refund Tracker Form
Request Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Email
example@example.com
Username
Payment Gateway
Stripe
Fastspring
Adyen
Paypal
Bluesnap
Paypal email
example@example.com
Is the refund request within the 30-day money-back guarantee period?
Yes
No
Please select the refund reason
No reason provided
Not using it
Using another tool
Not satisfied
Additional/extra charge
Other
Please specify
Product Name
Product ID
When did you buy the product?
-
Month
-
Day
Year
Date
1
Yes
No
Do you have the invoice?
2
3
Have you read the refund policy?
4
5
Based on the refund policy, are you eligible for a refund?
6
7
Requested Amount
Currency
Please Select
USD
EUR
Additional Notes
Please upload related screenshots (if necessary)
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