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Dispute Form

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Personal Information
Disputes

Dispute #1

Dispute #2 (If needed)

Dispute #3 (If needed)

Dispute #4 (If needed)

Dispute #5 (If needed)

Dispute #6 (If needed)

Dispute Information

The transaction listed above was neither done by me or anyone authorised by me to use my card. I or another person authorised by me was in possesion of the card at the moment of the transaction.

Notes

Please provide as many evidence as possible by uploading all your documents as this will speed up the Dispute process.

When you have filled in all the appropriate fields of the form, Click on the SUBMIT button below. Thank You!