Credit/Rebill Request
* Designates Required Field
  • The Ampersand Group Member Information

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  • Client Information

  • Transaction Information

  • Credit Information

    Please credit my customer the following:
  • Rebill Information

    If you would like us to add an additional charge to the Rebilled Invoice please indicated instructions for Rebilling
  • How Do We Communicate Credit?

  • Credit Expected From Vendor

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  • Print

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