Vending Machine Credit Card Refund Sheet

If cash was used for your transaction, please call (877) 437-1373

If Product not dispense, Cashless purchases (Credit, Debit, ApplePay, and Google Wallet) will be automatically credited to your account within 72 hours.

If after 72 hours/3 days you have not received a credit to your account, please select yes and fill out this form.

Thank you,

Imperial

Customer Information

Transaction Date

Payment Method


If contactless pay was used,
the 4-digit device account number found within the app must be provided
(examples include but not limited to Apple Pay, Samsung Pay, Cash App, Google Play, etc.)