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If you believe you have been charged a surcharge incorrectly at an Allpoint ATM, please fill out this form and hit "submit" below. We will do our best to respond back to you within 24 hours.
*All field are required.
First Name:
Last Name:
Email:
Your Street Address:
City:
State:
Zip:
Phone Number (include area code):
First 9 digits of Card Used (No spaces):
Your Financial Institution:
Date of Transaction:
(mm/dd/yy)
Time of Transaction:
:
ATM Store Location Name:
ATM Street Address:
City:
State:
Zip:
Terminal ID (found on ATM receipt):
Total Amount of Transaction (as shown on receipt):
$
Comments:
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