Request a Receipt

Lost your itemized receipt? Click below to request a duplicate copy.

REQUEST FOR RECEIPT OF PAYMENT

Please complete the following information to receive a duplicate ‘receipt of payment’. Should you be able to scan a copy of your credit card receipt, please include and email. Once finished, email the complete form to info@harborslc.com

Request a Receipt

Contact Name

Phone

Receipt Information

Total amount charged:

Name on Charged Credit Card:

Date of Receipt

Type of Credit Card Type of Credit Card

Last 4 digits of Credit Card

Check # (this is the 5 digit number at the top right corner of the credit card receipt)

Expiration on Credit Card

Server name

reCAPTCHA

Thank you for completing the information above. Please keep in mind, by providing all the requested information the more efficiently we can satisfy your request. The less information we receive the more resources necessary to accommodate your request,

Thank you,

Harbor Seafood & Steak Co.