Cellular One Refund Request Form

Refund Request:

Customer Name*
First Last
Account Number
Primary Phone Number on Account*
Reason for disconnect*
Choose your refund method below. Only choose one. If more than one is selected you will receive a store credit.
- Choice 1: Apply my refund as store credit (receive your refund faster!!)
Account Number
Phone Number
Name on Account
- Choice 2: Apply my refund to another Cellular One/Naked Mobile Account (receive your refund faster!!)
Account Number
Phone Number
Name on Account
Your gift card will arrive to your email listed below from “The Commercial Team noreply@tangocard.com”. If you do not see an email from this address please check your junk mail! Please allow 6 to 8 weeks for receipt of your egift card.
- Choice 3: Send me an E-Gift Card
Your gift card will arrive to your email listed below from “The Commercial Team noreply@tangocard.com”. If you do not see an email from this address please check your junk mail! Please allow 6 to 8 weeks for receipt of your egift card.
Email
Signature*
Date*
MM slash DD slash YYYY

*By placing your name on the Customer E-signature line above you agree that your electronic signature has the same effect and validity as a manually executed signature as provided for under applicable law, including any federal or state laws based on the Uniform Electronic Transactions Act. Store credits may be used toward the purchase of accessories or handsets.

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Cellular One Refund Request Form

Refund Request:

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