Refund form

Coca Cola Enterprises will be pleased to consider a full refund of any money lost in a CCE operated vending machine. Please use this form to submit your request. Required fields are marked with an asterisk (*).

Coca-Cola Enterprises will hold your personal details submitted via this form for the purposes of administering your refund request only. Please see our Privacy Policy for this site.

Your browser will require Javascript to be enabled to use the "Add" and "Remove" functions in the "Multiple Claims" section.

Name of Claimant * :
Home Address * :
Home Address City / Town * :
Home Address Postcode * :
Phone Number * :
E-Mail Address:
CCE Machine No * : [7 numerical characters] (Machine number located above the coin slot on the right hand side of the machine.)
Outlet name where machine is located * :
Outlet Address:
Outlet City/Town * :
Outlet Postcode:
In the event that your request for a refund is authorised by us, we will need these further details:
Name of Claimant * : A cheque will be sent made payable to this claimant.
Amount Requested * : [from 0.50 - 4.00]
Multiple Claims
If you would like to claim for more than one claimant, please add each additional claimant and the amount requested below.
Name of Claimant: [Cheque(s) will be sent made payable to this claimant(s).]
Amount Requested: [from 0.50 - 4.00]
A list of claims you have added are shown. If you want to remove a claim from the list, select the claim and click the "Remove" button.
If you have any queries please call 0800 137 424 or write your comments in the box provided (max 100 words). Coca-Cola Enterprises will endeavour to reply within 28 days.
comments / questions

	I have read and understood the Terms and Conditions and Privacy Policy of this website. *
	I authorise Coca-Cola Enterprises Ltd to hold my personal details in accordance with the Privacy Policy above. *

Request a visit from your local vending machine representative now, or call 0800 137 424.

* Installation and vending service provided is subject to the site meeting viability requirements and entering into a Coca-Cola Enterprises vending hire agreement. A suitable electricity supply must be available on the premises and the vending machine must be insured against all relevant risks, including vandalism. Site viability is subject to the discretion of Coca-Cola Enterprises Ltd. Vending machines are also available in rental. Graphics may vary to those shown.

Please read our Terms and Conditions and Privacy Policy. Copyright © Coca-Cola Enterprises Limited 2004.
'Coca-Cola', 'Coke', 'diet Coke', 'diet Coca-Cola', 'Fanta', 'Sprite' the design of the 'Coca-Cola' Contour Bottle, the Dynamic Ribbon device and 'The Real Thing' are registered trade marks of The Coca-Cola Company.
'Coca-Cola' Vanilla is a trade mark of The Coca-Cola Company.
'Schweppes', 'Slimline', 'Malvern', Fountain Device and the 196 Graphics are registered trade marks of Atlantic Industries.
'Appletiser' is a Registered Trademark of Sabmark International.