Please enable JavaScript in your browser to complete this form.Did Buyer Request a Refund Without Contacting You First? *Yes NoIF YES, was refund granted? *YesNoNextWhat Was the Reason Given: *Lost Package/Never ReceivedDamaged or Missing PartsSomething ElseIf Lost Package/Never Received, do you have proof of delivery, tracking or signature? *YesNoIf Damaged or Missing Parts, did customer submit pictures or other evidence of damage? *YesNoIf Something Else, describe briefly *PreviousNextIf refund or chargeback was automatically granted, did you file an Appeal? *Yes NoDid you win appeal? *YesNoWhy didn’t you file an appeal? Too Much TimeNew You Would Lose from ExperiencePreviousNextSeller PlatformAmazonWalmarteBayYour Own SiteOther (List)Please DescribeMonth of Sale010203040506070809101112Year of sale20232024202520262027202820292030Approximate Sale Amount (USD) *AddressLayoutApt/Suite/Unit Number StateCityZip CodePreviousNextProvide an email address to be notified when there are updates to the site, new information and we have compiled a sizeable list of bad customers you might reconsider shipping to.Submit