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Refund/Return Request Form
Date of Request
*
Full Name
*
Order/Transaction Number
*
Order Date
*
Refund Amount (Ksh)
*
Original Payment Method
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Select payment method
Credit Card
Debit Card
Bank Transfer
Mobile Money
Cash
Reason for Refund
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Select reason
Product Defect
Wrong Item Received
Item Not Received
Price Error
Duplicate Charge
Other
Additional Details
Supporting Documents
Accepted formats: PDF, JPG, JPEG, PNG
Email Address
*
Phone Number
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I declare that all information provided is true and accurate. I understand that submitting false information may result in the rejection of my refund request.
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