Gift Card Redemption Form

GIFT CARD REDEMPTION AGREEMENT AND REDEMPTION FORM

Parties

Issuer Name:

Redeemer Name:

WHEREAS

WHEREAS, Issuer issued a prepaid gift card identified below and Redeemer asserts lawful possession and authority to redeem that gift card under the terms set forth herein;

WHEREAS, the parties desire to document the redemption of the gift card, including the amount to be redeemed, the method of settlement, and the mutual covenants and warranties that follow;

WHEREAS, the parties intend that this document constitute the entire agreement governing the redemption transaction between them.

Gift Card Details & Redemption Request

Gift Card Number:

Gift Card PIN (if applicable):

Issue Date:    Expiration Date:

Original Face Amount:    Current Available Balance:

Cash payout    Store credit    Merchandise exchange    Refund to original card/account

Scope of Redemption / Obligations

Payment Terms

Redemption Payment Amount to be delivered by Issuer to Redeemer:

Late Payment Fee / Interest (if payment not made on schedule):

Term and Termination

Effective Date:    Expiration/End Date:

Either party may terminate this Agreement for material breach if such breach is not cured within days after written notice.

Upon termination, Issuer shall promptly remit any undisputed amounts due for redemptions accepted prior to termination, subject to documentation and verification.

Confidentiality

Each party shall keep confidential all non-public information obtained in connection with this redemption, including card account information, personal data, transaction amounts, and settlement details. Confidential information shall not be disclosed except as required by law or with the prior written consent of the other party. This obligation survives termination for a period of three (3) years.

Confidentiality exceptions and permitted disclosures (e.g., auditors, legal counsel) must be limited to persons bound to maintain confidentiality.

Representations, Warranties and Acknowledgements

Redeemer represents and warrants that Redeemer is the lawful holder of the gift card, that the gift card was not obtained by fraud, and that no third party has any claim to the gift card being redeemed. Issuer represents that it has the authority to settle the stated amount and that the card balance information provided is accurate to the best of its knowledge.

Government-issued photo ID    Original receipt or proof of purchase    Other documentation (describe in notes)

Governing Law; Entire Agreement

Governing Law:

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, understandings, and agreements. Any amendments must be in writing and signed by both parties.

Indemnification

Each party agrees to indemnify, defend and hold harmless the other party from and against any claims, liabilities, losses, damages, or expenses (including reasonable attorneys' fees) arising from a breach of this Agreement, fraud, or unlawful conduct related to the gift card redemption.

Execution

By signing below, each party acknowledges that it has read, understands, and agrees to be bound by the terms and conditions of this Gift Card Redemption Agreement and that the information provided on this form is true and correct to the best of its knowledge.

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