Contact Form Ticket machine malfunction with loss of money

Gender *

Mrs

Not specified

First name

Last name *

Street *

House number *

Zip *

City *

Email *

Phone

Machine number *

Train station *

Date of interruption *

Time of interruption *

Payment method *

Coins

Banknotes

EC/Creditcard

Which ticket was chosen? *

Ticket received? *

Yes

Which ticket was received?

Money returned?

Yes

How much money returned?

Amount of money lost *

Bank account (IBAN) *

Account holder *

Additional comments

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