Charge Back Reversal Forum

Charge Back Reversal Fourm

* Indicates required field

Name *

First

Last

Email *

Amount Charged on Card *

Transaction Date *

Reason to cancel Dispute *

Upload Drivers License/ID helps verify our customers *

Max file size: 20MB

Bank Name *

Card holder Phone Number *

Bank phone number *

Last four digits of the debit card used for this purchase of services *

Reference Number from the bank in regards of this issue of the charge back *

Date the dispute was put in *

I acknowledge all charges from United Taxi Services and I agree to the current charges from United Taxi Services I would no longer want to petition this dispute any longer now that I understand the charges that have taken place *

Purchase Receipt from United Taxi Services this is what have been text to you after services was purchased *

Name *

First

Last

Date of this submission *

Do you agree to to this Reversal Charge Back *

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