Coin Refund Request

To expedite processing of your request, please submit only one request for all your refunds. Submitting multiple requests will not be allowed.
Fields with a star (*) are required.
Please enter information about the money you lost
Request Refund Amount*
Machine ID Examples:
Machine ID*
  Please enter additional machines that you lost your money from and explain thoroughly why you request for refund and justify your refund amount
Refund Reason*
Please enter your contact and mailing address information
First Name*
Last Name*
Phone Number*
  Please make sure that your mailing address is correct. If not, your refund check could be delayed or not delivered to you.
Mailing Address*
Apartment #: 
  Examples: 1234 Main St., Apt# 3345 or P. O. Box 12345
(Line 2): 
State* Zip Code*
  You are required to verify your request. So please make sure that your email address is entered correctly.
Email Address*   

Coinmach Corporation | Service (877) 264-6622