Liquid's Form
Sign in to Google to save your progress. Learn more
Liquid's Form
What do you want ? *
Required
How did you contact me? Mention platform and username!! ( If you dont add this, the order may be delayed ) [DISCORD/TELEGRAM] *
NULLED or Any forum link( If any)
Website which you want to refund from? Mention the link please *
ORDER NUMBER *
E-Mail Address used on the Store: *
FULL NAME ON THE ACCOUNT *
MALE OR FEMALE *
BILLING ADDRESS ( With postal code and Country) *
Shipping Address( Please write the complete address with postal code and city) *
ITEMS ORDERED ( NAME ) *
ITEMS ORDERED (Link)
PAYMENT METHOD FOR THE ORDER(Mention last 4 digits of your credit card- many stores ask us for verification when refunding) *
Total value of the Order including Tax & Shipping:
PHONE NUMBER LINKED TO THE ACCOUNT
DATE OF ORDER
MM
/
DD
/
YYYY
DATE OF DELIVERY OF THE PACKAGE *
MM
/
DD
/
YYYY
Tracking number with Carrier Name: *
Did you sign on the delivery of your order?
Clear selection
If signed on delivery then by whom?
HOW MANY PACKAGES THE ORDER ARRIVED IN? ( MENTION THE NUMBER )
Any previous refund on the account or information used on the order? If yes mention how many or simply answer 'NO' (PLEASE DONT LIE HERE FFS) *
Sscreenshot of the Order Details Page ( Upload on imgur or similar)
Any other Information I should be aware of?
Where do you want the refund? ( ORIGINAL PAYMENT METHOD/ GIFT CARD/ANY OTHER MENTION)
How will you pay us? ( Payment is after refund confirmation) *
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