Online Refund Request Online Refund Request Use this form to request a refund for any online orders. Your Name:LocationBentonConwayBreckenridgeNorth Little RockRiverdaleDate of Occurence: MM slash DD slash YYYY What order type is this?(Required)OneDineUberUpload image (s) of the transaction needing a refundMax. file size: 200 MB. Have you refunded this in Aloha?(Required) Yes No What was the reason for a refund?Please include the amount of refund needed, check number, and guest name Δ