Submit a request – Support Center

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Your email address

Description

Please enter the details of your request. A member of our support staff will respond as soon as possible.

Full Name

Date of Birth

Phone Number

Transaction Date

Merchant

Transaction Amount

Dispute Amount

Dispute Reason

Date Lost/Stolen(optional)

Location Lost/Stolen(optional)

Expected Transaction Amount(optional)

Expected Number of Transactions

Actual Number of Transactions

Goods/Services Paid For

Expected Delivery Date

Date Paid for Goods/Services

Current Date

Date Merchant Last Contacted

Cancellation Date

Other Dispute Reason

What actions have you taken to return this product?

Please select all that apply.

Declaration

I declare that the information given above is true and correct to my knowledge. If the information provided is found to have been intentionally misrepresented, FUTURE has the right to reject the dispute. I understand that I can be held liable for charges incurred if the dispute raised by me is found to be invalid. FUTURE may contact me to request further information and I agree to provide reasonable cooperation with FUTURE

Attachments(optional)

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