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Citiban Commercial Cards

Citi Transaction 2012 Citibank, All rights reserved. Citi and Arc Design and Citibank are registered service marks of Citigroup 12/12 1 of 4 9213 Citibank Commercial CardsCardholder Dispute FormAPC/PA s Name:Date:Cardholder s Name:Merchant Name:Account Number: Transaction Date:Reference Number:Transaction Amount:Posting Date:Dispute Amount:Daytime Phone:Fax Number:E-mail Address:Cardholder/PA/APC s Signature:FAX TO: Toll Free Fax: 866-763-7946 Direct Fax: 605-357-2019 MAIL TO: Citibank Corporate card Services PO Box 6125 Sioux Falls, SD 57117-6125 Please select one dispute reason from the list below and completely answer all questions.

Airline Ticket Cancellation Dispute I have cancelled the above identified airline ticket on_____ (date) because (reason): _____ _____ _____ I was billed twice and I did not travel on ticket number _____ . When I ordered the ticket, I understood it was fully refundable if …

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  Commercial, Card, Ticket, Airlines, Commercial cards, Airline ticket

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