12/12/2024 2:59:49 PM
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Corporate Account Dispute - Billing
Corporate Account Customer Service Request - Billing
The completed form must be submitted within 90 days from the date of the invoice. A separate form must be submitted for each disputed rental. 
Please include Rental Agreement Number or Invoice Number to expedite our research.
Corporate Account Dispute - Billing
*
Required field
Date of Invoice
Invoice Number
*
Corporate Account Name
Disputed Amount
*
Rental Location
*
CDP #
*
Renter's First Name
*
Renter's Last Name
Rental Agreement #
*
Pick-up date
*
Return Date
Person to Contact:
*
Contact First Name
*
Contact Last Name
Title
Address
Phone Number
(
)
-
City
Fax Number
(
)
-
State/Province
*
Email Address
Zip/Postal Code
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