CONSUMER FRAUD INFORMATION FORM

If you believe that you been a victim of consumer fraud or corporate abuse. Please fill out the form below.

Please identify the company, or companies, that are involved:

Please give a brief generic description of your claim or complaint, ( i.e. contract, fraud, false advertising, etc.) (keep it to one or two short sentences or paragraphs - we will get more detail later)

Your Name:
Address:
City:
State:
Zip:
Daytime Phone Number:
Evening Phone Number:
Fax Number:
E-Mail Address:

Please click the submit button.

Thank you.

note:  nothing on the internet is 100% confidential, so call if privacy is needed! Also, we are not admitted to practice in all jurisdictions, but can work with local counsel.

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