U R C H A S I N G   A R D

CARDHOLDER DISPUTE FORM

US Bank Canada Commercial Card Program

Date:

 

Company

Vancouver Island University

Cardholder Name:

 

Cardholder Account #

 

Company Address:

900 Fifth St. Nanaimo, BC V9R 5S5

Cardholder Phone No:

 

Type of Dispute

Check One:

______

Credit Not Posted (attach credit slip)

______

Duplicate Posting

______

Erroneous Amount (attach sales receipt)

______

Photo Request / Unrecognized Charge


Merchant Name

Amount

 
________________________________________

 
$ ______________________________

Comments

______________________________________________________________________ 

______________________________________________________________________ 

______________________________________________________________________ 

______________________________________________________________________ 

 

Fax Completed Form To:

Commercial Card Centre
Fax # (888) 974-3464 or (416) 306-3567

 

and to:

 

Vancouver Island University Accounts Payable
Fax # 250-740-6465

attach copies of any relevant documents as /above to your fax(es)


If you have any questions please contact Tammy Williams at 740-6234 or e-mail: Tammy.Williams@viu.ca


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