- Casco Bay Food and Beverage

Service / Refund Request

Business Name*(Required)

Your Business Address(Required)

Street Address Address Line 2 City ZIP Code

Asset#/Type of Machine*(Required)

Issue Description*(Required)

To help us assist you more efficiently, please provide additional details, including the item you were trying to purchase and any error messages that appeared on the machine. This information will significantly expedite the service and refund process.

PLEASE PROVIDE YOUR INFORMATION BELOW

Your Name(Required)

First Last

Phone(Required)

Your Email Address(Required)

If approved, how would you like us to process the refund?*(Required)

How much money did you lose?(Required)

Type of Payment Used*(Required)