Report Fakes

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

State

Zip/Postal Code

Date Seen

dd/mm/yyyy

Name/Type of Event

3. Internet Finding

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

5. Comment Field

Please add any additional comments you feel are relevant.

Comments