TACO BELL^®
GIFT CARDS

SERVICE FORM

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Cash Back will be issued only as required by law in the following states:

Complete the Request Form (below) and click “Submit” at the bottom of the form to send infomation to GCTB, LLC.*

Request Form
All fields are required

First Name

Last Name

Address

City

State

Zip Code

Reason For Request

Taco Bell→ Card Number

16 digit number on back of card

Taco Bell→ Security Code

3 or 8 digit number on back of card

How would you like us to get back to you?

No Reply Needed

Phone

Phone Number

Email Address

Must provide email address associated with your Taco Bell Mobile Account for Refund of eGift Card.

I agree that the information above is true and correct and I am the lawful owner of the Taco Bell→ Card identified above.

By submitting this form, I agree to the Terms of Use and agree that my information will be used as described in the Privacy Policy.