Question Property Type Values Mandatory/Optional/Conditional Notes Please provide a description of the issue and how the amount is different than what you expected.Charged Wrong Amount
What is the correct amount that should have been charged? CorrectAmount Text Mandatory What is the amount shown on your receipt or confirmation? ReceiptAmountShown Text Mandatory DifferenceExplanation Text Mandatory What is the amount being disputed? DisputeAmount Text Mandatory
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