Please indicate the amount you are missing. Example: If you are missing $4.00 enter it as 400 or missing $1.00 enter 100.
I hereby affirm under penalty of perjury that the foregoing claim and related information I am providing to you is true and accurate in all respects, and acknowledge that any submission of false, invalid, or duplicative claims or inaccurate information, or communication with your Customer Support representatives in a disrespectful, belligerent or inappropriate manner, may result in termination of my account, forfeiture of all accrued rewards, and additional legal consequences. Customer Support will attempt to evaluate each claim fairly, but cannot guarantee credit on claims without valid confirmation from our partners, and I acknowledge that its claims decisions are final.
