Laundry Refund Request Form (BuzzCard Purchases)

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Upcoming Dates (next 30 days)

Please utilize this form to request a Laundry Machine Refund for BuzzCard Account transactions

Laundry Refund Request Form (all fields required)
First Name:
Last Name:
Your E-mail address:
Daytime Phone Number:
Your Campus PO Box:
BuzzCard Number (16 digits, starts with 601770):
Amount of funds lost:
Select the laundry facility:
Machine Type:
Machine ID:
Date the problem was encountered:
Approximate time the problem was encountered:
Please describe the problem:


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