Jadeite Refunds Form

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Jadeite Refunds Form

Fill this form out after items are received.

Minimum fee is 50$
Please make sure all info entered is correct.

https://discord.gg/UJnTvMmufW

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Email Address *

Your answer

Site *

Your answer

Billing Name *

Your answer

Billing Address *

Your answer

Last 4 digits of card *

Your answer

Expiry Date *

Your answer

Prioritise (10$ extra) *

Yes

No

Discord Name *

Your answer

Telegram Name *

Your answer

Payment Method? *

BTC

ETH

LTC

If you tick this box you accept the fee and the responsibility of the refund, know there is a chance things may fail, even if it is low. Tick this box if understood. *

Understood

Required

Submit

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