Check Request

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Do we owe you?

Please provide address or website of the business you are purchasing from so we can pay directly to the business. If you want your check mailed to you instead, include your mailing address at the bottom of the form. A copy of the receipt is REQUIRED. You will be notified when your check or debit request is paid.


Please fill out the form fully. We will contact you to confirm when your check or debit request is paid.