Merchant Complaint Form
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First Name: |
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Last Name: |
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Email: |
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Contact Phone Number: |
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Who is the Processor: |
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Processor Address, City, State: |
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Processor Phone Number: |
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Have You Contacted Your Processor?:
Yes No |
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Was There an Attempt to Resolve the
Matter?: Yes
No |
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Is there a Contact Person or Agent with
Your Processing Company?: |
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Complaint Issues: |
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All information
will be used by InfoMerchant exclusively
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