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In observance of Memorial Day, all Atomic Credit Union branches will be closed on Monday, May 27th.

Debit Card Dispute

Cardholder Information
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If cardholder received anything fromthe merchant, cardholder must provide proof of return or cancellation number.
I did not receive credit from the merchant.
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I paid for transaction via another payment method but Atomic Debit Card was billed also.
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I paid with a



I cancelled service with merchant but continue to be billed.
What was your method of cancellation



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I was billed the wrong amount or the amount posted to the account more than once.
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I received merchandise that was damaged, defective, not what I ordered; the service I received was not what I expected based upon Merchant description.
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I did not receive what I ordered by the agreed upon date.
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Member Acknowledgement

I have completed this affidavit for the purpose of establishing the unauthorized use of my Atomic ATM and/or Debit Card. I affirm that I did not give, sell or trade my card to anyone, nor did I give Atomic Credit Union authority to release any information regarding my card, account and/or transaction details to be used to investigate and/or prosecute any person(s) who may be responsible for fraud. This includes, but is not limited to, the release to any party associated with transactions or any Federal, state, or local law enforcement agencies.

By typing my name below I acknowledge that I have read the above statement and agree that it is true.

Type your name in the box in lieu of a physical signature.