Request a Refund If you need to request a refund, follow the instructions below. I Have Machine ID Please enable JavaScript in your browser to complete this form.Machine ID *Requested By *Store Manager / EmployeeCustomer/PatronPhone *Help Needed *Request a RefundName *FirstLastLast 4 digits of credit card used *Date *Email *Home Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *You will receave a status update shortlyCommentSubmit