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Get Dispute With Esl Form

The following reason: (Check only ONE): I contacted the merchant to resolve dispute on: / / (response in details below): I have not, nor has anyone authorized by me, engaged in this transaction. My card was reported lost OR stolen on / / . I have not authorized or participated in any way in this transaction. My card has not been out of my possession. The amount billed is incorrect. I have enclosed my copy of the sales slip dated The correct amount is $ . I am disputing the foll.

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