Store #:
MID:
Merchant Brand:
Merchant Contact Name:
Merchant Contact Email:
Merchant Contact Phone#:
Transaction Date:
Transaction Amount:
Refund Amount:
Last 4 Digits of Credit/Debit Card Used:

Form provided by Freedback.

PAX Refund Request

Please fill out all fields on the request form.
This request is sent directly to Fiserv for resolution.
If this is an emergency, please call the Kahala POS Help Desk at (877) 811-3811.
 
POS Help Desk:   (877) 811-3811
Open 7 days a week / 363 Days a Year!
National Hours:  7AM - 10PM   Mountain Time

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