Auctionpay - Donor Refund Request

IMPORTANT NOTE: By submitting this request, you are authorizing Greater Giving to refund your donor's credit card for the entered amount. You are also authorizing Greater Giving to debit your organization's bank account for the total amount refunded prior to initiating the refund transactions.

To submit an Auctionpay Donor Refund request, please fill out the form below and then press the submit button.

NOTE: * - Indicates required data

* Organization    
Customer ID  
* Contact First Name    
* Contact Last Name    
* Contact Phone    
* Contact Email    
* Event Name    
* Bidder Number    
* Donor First Name    
* Donor Last Name    
* Credit Card Number    
* Amount to be Refunded    
* Expiration Month     Expiration Year    
Reason for Refund (Please do not put any requests here, this text is only stored for reference)  
This relates to a dispute/chargeback (check if 'Yes')

Information collected is protected by the latest in SSL encryption, so you can submit your transaction data with confidence.