Vending Machine Refund Request Form

Request a refund from an on-campus vending machine.

Vending Machine Information
Vending Machine Location*

Address & Floor
Vending Machine Type*

Pepsi, Ice Cream, Snack, etc.
Refund Request Information
BU ID

A BU ID is required in order to properly credit your Terrier Card.
Name
First Last
Address
Phone
Email
What amount are you requesting?*
If Convenience Points were used, do you want your points account credited?*
- Yes
- No
Reason for Refund*
Please enter a brief description of the problem you encountered.

Vending Machine Information