First Name

Last Name

Perx Card last 10 Digits

Contact Number

Email

Company Name

Original Card Load Value

Is the card you are inquiring about a physical or digital card PhysicalDigitalNot Sure

Do you have a pre-existing account on Perx.GetMyBalance.com YesNoNot Sure

Is your card enrolled for 3DS verification to ensure secure online shopping YesNoNot Sure

Issue Description

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