Mastercard Benefits Claims Submission

Online Delivery

Item purchased must be made entirely with eligible card

What was the purchase date?

What product(s) are you claiming for?

E-commerce website that you purchased from:

Order number:

Purchase price:

Description of claim:

Scheduled delivery date:

Actual delivery date:

Name of shipping company:

Tracking number:

Upload Your
Supporting Documents

of non, incomplete,
or damaged delivery

Choose file

or National Identity

Pass_Scan_18022019.jpg

Choose file

Bank name:

Bank address:

Account holder name:

Account number:

Phone number:

Email address:

(a copy of your claim submission will be sent here)