Carrefour Credit Card Return Receipt



Filled by Information Center

Returning Date

No. of Returning Form

Returning Amount


Signature of Information Center

Signature of Cashier Chief/Assistant

Filled by Customer

Purchasing Date

Credit Card No.

Total Amount on Credit Card Receipt

Tel No.

Customer Signature

Reporting Signature and Chop

Your payment will remitted to your account, please pay attention to your bank statement

If the bank don’t remit the payment in 20 days, please call us.

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