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Chargeback Reversal Agreement (Standard) Concepts
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How to write your Chargeback Reversal Agreement (Standard)

We include this 1 page template with IT/Software/Hardware Contract Pack and the Proposal Kit Professional. You will get more content and software automation for data merging, managing client documents, and creating proposals with line item quoting with a Contract Pack or the Professional.

Use the Chargeback Reversal Agreement if you have a customer who charged back a product or service inappropriately. You may need written permission from them to get the chargeback reversed. Use this in cases where the chargeback was by mistake for example. The intent is to get their statement in writing to take back to the credit card processor in case the customer is not being cooperative. It is always best to have written authorization up front on charges to avoid having to go back to the customer if problems occur as the credit card companies almost always side with the card holder, even if it is a fraudulent chargeback.
Document Length: 1 Page
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1. Get IT/Software/Hardware Contract Pack or the single template that includes this business contract document.

We include this Chargeback Reversal Agreement (Standard) in editable Word format that can be customized using your office software.

2. Download and install after ordering.

Once you have ordered and downloaded your template or pack, you will have all the content you need to get started.

3. Customize the contract template with your information.

You can customize the contract document as much as you need. If you get a Contract Pack or Professional Bundle, you can also use the included Wizard software to automate name/address data merging.

Chargeback Reversal Agreement (Standard)

How do you write a Chargeback Reversal Agreement (Standard) document?


Case Number:

Transaction Date:

Visa [ ] MasterCard [ ] Discover [ ] American Express [ ] Other:

This transaction chargeback was reported in error. I (the "Cardholder") agree to the reversal of the chargeback. I also understand that with sufficient tracking information the merchant "Company Name" can provide a rebuttal to the credit card issuer without a signature from the customer and request further investigation.

Print and Fax this form to:

Company Name Attention: Sales Dept - Fax Fax Number.

Print and mail this form to:

Company Name

City, State Postal Code

Important: Email, Adobe PDF, Email Faxes or other Electronic delivery of this form will NOT be accepted.

The complete Chargeback Reversal Agreement (Standard) - with the actual formatting and layout - is available as a single template or as part of a library of related templates in a Contract Pack or the Professional Bundle.
Chargeback Reversal Agreement (Standard)
Product name:
Chargeback Reversal Agreement (Standard)
Produced by:
Proposal Kit
Software › Computer Software › Business & Productivity Software
$19 USD
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Alternate documents are those which may be used instead of this document depending on your situation. Alternate documents may be better suited for projects of different sizes, more specialized projects, and variations on rights.

Alternate Documents:

Key Takeaways

  • The Chargeback Reversal Agreement (Standard) is available as a ready-to-edit template.
  • The Contract Packs and Professional Bundle include many related agreements and documents.
  • You can automate financials and data merging into contracts using a Contract Pack or Professional Bundle.
  • You can also create business proposals and integrate your contracts using the Professional Bundle.
  • There are no ongoing subscription fees. You get lifetime unlimited use.

How to Build a Legal Contract with Proposal Kit

This video illustrates how to create a legal contract using the Proposal Pack Wizard software. It also shows how to create a proposal with an invoice and contract at the same time.

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Proposal Kit, Inc. makes no warranty and accepts no responsibility for the suitability of any materials to the licensee's business. Proposal Kit, Inc. assumes no responsibility or liability for errors or inaccuracies. Licensee accepts all responsibility for the results obtained. The information included is not legal advice. Names in use cases have been fictionalized. Your use of the Chargeback Reversal Agreement (Standard) template and any purchased packages constitutes acceptance and understanding of these disclaimers and terms and conditions.

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