Refund Request Form Please fill out the form below and we’ll be in touch with you ASAP! Vending Refund Request FormFirst NameLast NamePhone NumberEmail AdressLocation within Building What Type of Machine?- Select -CokePepsiGlassfront BeverageGlassfront SnackFoodCoffeeAmount requested for refundDate of IncidentTime of IncidentLast 4 Digits of card usedSubmit Form