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Refund Guarantee Claim Form: Statement

This refund guarantee claim form contains fields for the customer to fill out to request a refund for a Pass4sure exam preparation product. The customer must certify that they have deleted all copies of the product, not distributed it to others, made one unsuccessful attempt to pass the corresponding exam, and will not make any further claims from the bank after receiving a refund. They are asked to provide identification details as well as purchase details to verify their eligibility for a refund.

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0% found this document useful (0 votes)
26 views

Refund Guarantee Claim Form: Statement

This refund guarantee claim form contains fields for the customer to fill out to request a refund for a Pass4sure exam preparation product. The customer must certify that they have deleted all copies of the product, not distributed it to others, made one unsuccessful attempt to pass the corresponding exam, and will not make any further claims from the bank after receiving a refund. They are asked to provide identification details as well as purchase details to verify their eligibility for a refund.

Uploaded by

kulbhooshan
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Refund Guarantee Claim Form

Statement

1. This is to claim for a Refund associated to Pass4sure.com Product SAS Questions & Answers
Invoice #:. I attest that I have deleted all copies of this product from my hard drive and it retains
no copies of this product. Additionally I have not given or sold copies of this product to any third
party. I certify that I am the original purchaser of the product from Pass4sure.com
2. I certify that I have made one unsuccessful attempt to pass the corresponding certification exam
and will make no further claims from bank after pass4sure has refunded the amount.

Please Fill the following information completely:

First Name:
Last Name:
Order Number: _
Purchase Date:,17 ____________________________________
Vendor: __________________________________________
Order Description (Exam Code): -
Candidate ID/ testing ID: ____________________________
Result Scores:
Last 4 digits of Credit Card: __________________________
Address:
City: Thane ____State: Maharashtra : ________
Phone Number:

E-Mail Address Used with Account:


_________________________________________________

Candidate Signature:

Date and Place:

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