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Refund Application Form
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Client Information
Full Name
Company Name
Email
Mobile
Address
City
State
Pin Code
Invoice # ID
Date of Onboarding
Date of Service Completion
Service(s) Provided
Offer Creation
Funnels & Automation
Lead Generation
Sales Framework
Sales Script
Other (Please specify)
Service and Performance Details
Describe the issues you encountered during the service period (Include specific details on what did not meet your expectations)
Have you followed the provided sales framework and script 100% accurately?
Yes
No
Have you used the tools and system framework exactly as specified by us?
Yes
No
If no, please explain any deviations from the provided framework/script
How many leads were generated during the service period?
How many sales/conversions were achieved during the service period?
Verification of Sales Process
Please provide detailed sales process documentation (Include dates, times, and names of team members involved in each interaction.)
Have you used any external sales tools or frameworks in addition to the provided ones?
Select
Yes
No
If yes, please specify and explain the usage
Did you conduct any independent marketing or sales activities outside of the services provided by us?
Select
Yes
No
If yes, please provide details
Financial Documentation
Upload the past 3 months of bank statements for verification
Please indicate the account(s) used for receiving sales revenue
Have you received any other payments during the service period that are not sales-related?
Select
Yes
No
If yes, please specify the nature of these payments
Provide a summary of the financial impact and loss incurred due to the service
Refund Request Details
Amount of Refund Requested
Please provide a detailed explanation of why you believe you are eligible for a refund (Include references to specific terms and conditions of the service agreement.)
Have you previously requested any partial refunds or adjustments?
Select
Yes
No
If yes, please provide details
Declaration and Signature
I hereby declare that all information provided in this application is accurate and complete to the best of my knowledge. I understand that any falsification of information may result in the denial of my refund request.
I agree
Signature: (Typed Name)
Date
Send
Instructions
Please complete all sections of this form. Incomplete forms may delay the processing of your refund request.
Attach all necessary documents and evidence to support your refund claim.
Submit the complete form within 2 days of your refund request initiation.
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What Is Your Current Business?
Current Monthly Revenue?
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INR 2,00,000 - INR 10,00,000
INR 10,00,000 - INR 50,00,000
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INR 1,00,00,000+
What Do You Need Help With?
First Name
Last Name
Mobile
Email
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Your Name
Company Name
Email ID
Mobile No.
Requirement
Social Media Growth
Paid Advertising
Marketing Automation
Current Revenue (Monthly)
< INR 1 Lakh
INR 1 lakh - INR 5 lakhs
INR 5 lakhs - INR 10 lakhs
> INR 10 lakhs
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