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Report Counterfeits

1. Model or name of counterfeit product
Model or name of counterfeit
2. Location of counterfeit
Please give as much information as possible.
Address Line 1
Address Line 2
City
Zip/Postal Code
Date Seen
 (dd/mm/yyyy)
Name/Type of Event
3. Internet Information
If you found the counterfeit product(s) online, fill in the address of the website and/or online auction.
Website address (URL)
Business/auction name
4. Personal Contact Information
Providing your personal information is optional and kept strictly confidential
Name
Email
5. Comment Field
Please add any additional comments you feel are relevant.
Comment