.


:




:

































 

 

 

 


/ardholder claim




(* )

( 7-495-747-38-88)

 

* (Cardholder name) ______________. ()

* (phone number) __________ ___________________________________________

* , (Card number charged)

                                   

____________________________________________. ( )

( )/the transaction in dispute

* Transaction date * ( ) Merchant name * Transaction amount * Billing amount Transaction number
         
         
         

* /for the reason:

( , ). . ___________________ () Please provide me with the copy of the transaction documentation (except for ATM cash disbursements).
, / .. /___________________________________________. ( POS-), , , The transaction amount/transaction currency differs. The correct transaction amount/ currency ______________(the receipt enclosed)
/ 1 / ( ) " " ___________( ) 1 : : - . . ( ). - ( ). _____________( ): / ( ). I made ATM/POI cash disbursement transaction, but: qI have not received the requested cash amount qI have received only a part of the requested cash amount_______________
. . ( ): q ( ). q /. q . q ( ). , ___________________________() I did not make the above mentioned transaction. I state that (mark the box): qOn the transaction date I was in full possession of the card (it was neither lost, nor stolen). qAt the moment of transaction the card was lost/stolen. q I neither was engaged in the transaction nor authorized anybody to make it. q I made transactions at this Merchant before (transaction list to be enclosed). I was informed that my declaration will cause the closure of my card account and pick-up of the card if used.

/-

/ ( ) :





:


: 2015-09-20; !; : 397 |


:

:

, ; , .
==> ...

1006 - | 822 -


© 2015-2024 lektsii.org - -

: 0.011 .