Code of Conduct Resolution Form

First Name (required)

Last Name (required)

Merchant Business Name (required)

Merchant Business Address (required)

Phone (required)

Email (required)

ROAM Merchant ID (required)

Name of Sales Rep (required)

Select the Code of Conduct Policy Element that best matches your complaint: (required)

Transparency and DisclosureNotice of Fee Increase or New FeeContract CancellationNo Obligation AcceptancePayment Method DiscountNegative Option AcceptanceContactless PaymentsRenewal and Cancellation DisclosureComplaint Handling Process

Please provide a summary of your complaint: