JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Legendary VA Reimbursement Service
Please fill out this form to express your interest in the Amazon Reimbursement Service
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Email
*
Your answer
Average Monthly Sales (Last 6 Months)
*
Your answer
Have you requested reimbursements from Amazon before? If so, when was the last time?
*
Your answer
Do you have access to store receipts and/or invoices?
*
Your answer
Are you a member of the Legends group?
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
