Credit Card Refund Request Form (vending machines only)

If cash was used or if purchased from a micro-market kiosk, please call (877) 437-1373 rather than filling out this form.

If purchased from a micro-market kiosk (not a vending machine), please call (877) 437-1373 to receive your refund (there is no form to fill out).

Please go to https://cmsvend.com to request your refund.

If product did not dispense, your card won't be charged.

Pending charges shown on your credit card statement are automatically removed within 24 hours.

If after 24 hours the charges are still showing on your credit card statement, please select yes and fill out this form.

Customer Information

Transaction Date

Payment Method

If contactless pay was used, the 4 digit device ID # can be found within the app on your phone.

(contactless pay examples include, but are not limited to, Apple Pay, Samsung Pay, Cash App, Google Play, etc.)