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KBL Vending Machine Refund Request Form

KBL Vending strives to offer vending snacks, drinks, and refreshment solutions to the public via cash and credit vending transactions. If you have experienced a transaction with one of our vending machines that is not to your standard, we want to know about it. KBL needs to both fix the broken vending machine to alleviate further problems, and get you an adequate refund. Please use the form below to convey all relevant information about the transaction so we can rectify the situation immediately.

Home address info needed and we mail out a check for refund.

Name :
Company :
Home Address :   
City / State / Zip :
Phone :
E-Mail :
Amount of Refund : $
Credit Card affected : Yes    No
Request Details (Please be Specific) :
Word Verification * Type the numbers you see in the picture below.
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