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Citibank® Commercial Cards. Cardholder Dispute Form. Inquirer's Name: Date: Cardholder's Name: Account Number: __ - __ - __ - __ - __ - __ - __ - __ -__ 29 Sep 1998 Kindly accomplish this Cardholder Dispute Form, attach all required documents and return to Citibank Dispute Resolution Unit within 7 Merchant Name (as it appears on Citialert / Citibank Online / Statement) from any of the disputes included in this form, including in case of an actual ATM Dispute Form. – CitiDirect® Card Management System. – CitiManager® Web site. – Customer Service. – Fax dispute form to (605) 357 – 2019. Contact Citibank CARDHOLDER DISPUTE FORM Cardholder s Name Cardholder s Signature Date Card Number Primary Supplementary Kindly accomplish this Cardholder For your ease, we have gathered some of the most frequently used forms at one place. Application for Supplementary Card (Minor) · Transaction Dispute Form Post to: Credit Card Disputes, Transaction Services, GPO Box 40 SYDNEY NSW I dispute the above mentioned transaction(s) for the following reason (Please Sign on to Citibank Online, go to “Service Center” and click “Card Block and Reissue” Print out and complete a Transaction Dispute Form. The form is Analyzing and monitoring Citibank reports detailing transaction dispute activity . The Cardholder should always keep a copy of the completed Dispute Form. 1 Feb 2016 Dispute Form. Name (Basic / Supplementary):. Amount in BHD. Amount in Foreign. Currency (If Applicable). Statement. Date. Transaction. Date.
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