FTEU Form

Text Message Fee Claim

If you were charged by your carrier for text messages sent by us, please let us know and we would be happy to reimburse you.

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* 1. How many text messages were you charged for?

0

10

20

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 2. Which cellphone carrier do you use? (ex. Verizon, Sprint, T-Mobile, etc.)

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* 3. What amount were you charged? (ex. $5.50)

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* 4. What is your contact information?

Name *

Member ID

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 5. Any other comments or information you would like to provide?