SweepsPal™ Initial Dispute Notice Initial Dispute Notice
| First Name:* | ________________________________ |
| Last Name:* | ________________________________ |
| Street Address:* | ________________________________ |
| City:* | ________________________________ |
| State:* | ________________________________ |
| Zip Code:* | ________________________________ |
| Email:* | ________________________________ |
| Phone Number:* | ________________________________ |
| Description of Dispute:* | ________________________________ |
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| Desired Outcome:* | ________________________________ |
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| Mail or Email Notice to: | SweepsPal |
| 145 Corte Madera Town Center, Suite 596 | |
| Corte Madera, CA 94925 | |
| support@sweepspal.com | |
| (*Required fields) |