REFUND REQUEST FORM

The WETLANDS
Refund Submission Form

By Continuing with this refund request, I am fully aware that my IP Address will be Checked against the WETLANDS User Logs.
If is IS apparent that I have in fact accessed the MEMBERS archives and Request a refund this constitutes fraud by Virtue of receiving goods and or services in which I refuse to tender payment.
I further understand that in PROCEEDING with this Request AFTER I have accessed the Members archives will result in this transaction being reported as FRAUD to the Appropriate Credit agencies which WILL have a Detrimental effect on my Credit Rating and Prohibit and Impede my ability to EVER Process Credit Card Transactions Both online AND off.
I Fully UNDERSTAND ALL of the ABOVE and Wish to Continue By Filing the Following REFUND REQUEST FORM

ALL APPLICABLE FIELDS ARE REQUIRED

Your NAME

Email Address
(response will be sent here)

Billing Company Used* *Please refer to your transaction receipt or credit card statement.

Username

Password

Transaction #
(if applicable)

REQUIRED FOR IBILL ACCOUNTS

Subscription #
(if applicable)

REASON FOR REFUND:

USERNAME/PASSWORD DOESN'T WORK - If you are having trouble with your username and password we will attempt to diagnose the access problem before issuing a refund.

OTHER:

By Submitting You ARE Agreeing to The Terms and Disclaimer Listed ABOVE

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