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Disputed Balance Notice
We are in receipt of your statement dated the ____________, day of _____________ 20 __, indicating an account balance of USD$------.
We dispute said balance for the reason[s] checked.
____ Goods billed for have not been received.
____ Prices are in excess of agreed amount.
____ Prior payment made in the amount of $______on the ____________, day of _____________ 20 __.
____ Goods were unordered.
____ Goods were defective as per prior notice.
____ Goods are available for return as per our right of return and credit.
Please adjust our account.