This Printable Business Form Template belongs to these categories: money
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1285 Mulberry St.
Anytown, CA 95928
(555) 555-1212 [email protected]
November 8, 2008
National Credit Card
345 Broadway
Anytown, CA 95928
To Whom It May Concern:
I am writing to request a chargeback for a transaction made on my credit card, (#123-4567-8910), on Nov. 5, 2008, in the amount of $759.89 to XYZ
Retailer.
Please do not honor the charge, and if it has already been processed, please reverse the charge.
The reason for the chargeback is defective merchandise. The refrigerator I ordered does not cool sufficiently, despite five service calls over the
course of a week.
Sincerely,
Danny Daniels
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This Printable Business Form Template is available to download for free, or you can download the entire collection for only $199.
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