UENME Refund request

complete this form to request refund

Name

First Name

Last Name

UenMe Username

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Date of transaction

Provide approximate date of transaction

MM

DD

YYYY

Total Amount

Provide the total amount of transaction you are requesting to be refunded (Use USD $)

$

Last four digits of credit card

Please provide the last four digits of the card used for this transaction.

Reason For Refund

Please tell us why you are requesting this refund.

UenMe, LLC
2118 Wilshire Blvd #275
Santa Monica, CA 90403
310.906.0717
support@uenme.co