KFC Gift Cards - Refund Request
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First Name:
First Name is a required field.
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Last Name:
Last Name is a required field.
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Street Address:
Street Address is a required field.
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City:
City is a required field.
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State:
--Select State--
California
Colorado
Connecticut
Hawaii
Maine
Massachusetts
Montana
New Jersey
New York
Oregon
Rhode Island
Texas
Vermont
Washington
State is a required field
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Zip Code:
Zip Code is a required field.
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Phone:
Phone is a required field.
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Email:
Email is a required field.
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Gift Card Number (16 digits including under scratch off area):
Gift Card Number is a required field.
Must be 16 characters long
Retype the characters from the picture:
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