MenuHousing HomeBack to Current Residents Vending Machine Refund Request Form Please complete this form to request a refund if a vending machine malfunction on campus caused you to lose money. Name* First Last Phone*Please enter a mobile phone number.Email* Campus Box Number Please be sure to specify if you have an NRH box.Please identify the type of machine you are reporting.*Vending - SodaVending - SnacksWhere is the machine located?*LibraryKresge BuildingStraughn Dormitorythe New Residence HallRefund Amount* How much money did you lose?Refund Reason*Please tell us what happened when you lost your money. This information will be reported to the machine owner to help diagnose and prevent the problem from reoccuring.