Report An Issue Page 1 of 2NameFirstLastEmail address*Phone NumberDoes The Machine Show Physical Damage?*YesNoDamage Description*Did a Product Fail to Vend?*YesNoTime of failureDate of failureMachine Location*Please Use Local landmarks (ex. PBIA Main Terminal)Product selection*Your Selection That Failed (ex. 6A)Amount Paid*Additional CommentsNextWere You Provided a refund?*YesNoNot SureWould You Like A Refund?*Typically If you paid by Credit / Debit and the Machine failed to vend the pending payment will not be processed. Please allow 3-5 business days for the transaction to clear. Terms may differ depending on your financial institution YesNoZelle Information*We process our refunds through Zelle: Phone or EmailBackSendThis field should be left blank{{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting…