Dispute transaction 31

How does the Retailer / Merchant name appear on your statement? * Please type exactly as it appears on your statement, otherwise your claim might be rejected. Exclude these special characters: % ; < = > ^ | £

Please enter name

Transaction details

What date does the transaction appear on your statement? * This might be different from the date you made the purchase. We’ll need the date exactly as it appears on your statement or your claim might be rejected.

Please enter a valid date

What was the transaction amount? * We'll need the exact amount shown on your statement (please include euros & cents e.g. €99.99).

Please enter a valid amount

What's your disputed amount? * The amount you are making a claim for.

Please enter a valid amount

Please describe the services. For example, repairs, installations, legal, trading or digital goods. If you are only disputing ‘some of’ the transaction amount please also explain why here.

When did you expect to receive the service? *

Please enter a valid date

Did you cancel in line with the retailer’s terms and conditions? *

select an option

Yes

Please describe the goods. For example, the make, colour, size, and quantity. If you are only disputing ‘some of’ the transaction amount, please also explain why here.

When did you receive or expect to receive the goods? *

please enter a valid date

Did you cancel/return in line with the retailers terms and conditions *

select an option

Yes

When did you return the goods? *

Please enter a valid date

Who was the courier? *

Please enter courier name

What was the tracking number? *

Please enter tracking number

When did you receive the goods? *

Please enter a valid date

Did you cancel/return in line with the retailers terms and conditions *

select option

Yes

Who was the courier? *

Please enter courier name

What was the tracking number? *

Please enter tracking number

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What contact have you had with the retailer to try and resolve things, including the reason for returning/cancelling and date when you cancelled?

When did you cancel with the retailer and what is the reason for cancelling?