Required for a refund.
10 Digit Phone Number. Required for a refund.
This is the 4-digit machine ID number of the vending machine you are reporting. If there is an Adaria sticker but no ID number, enter 9999.
Account name of where the machine is located. (Company, Hospital, etc.)
Please specify the type of request.
Please enter the details of your request. A member of our support staff will respond as soon as possible.