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Complaint Form If you want assistance please use this form or send an e-mail. To simply report a situation, please use our report form.

PLEASE CHOOSE:
  • To submit this form on-line please complete it and choose "submit" below.
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  • e-mail your complaint to us.
Unless you submit on-line please print out your form and mail it with your check for $12(US) to:
ripoffs.org
7243 North Audubon Road
Indianapolis, Indiana 46250-2617 USA
You may submit copies of any relevant documents through the mail (We do not accept e-mail attachments.), but that is not necessary at this time. Materials will not be returned.
COMPLAINT

YOUR INFORMATION
Please provide your information here. Your personal information will not be shared, sold, or traded for any purpose. It will be submitted with your complaint to the organization about which you have a complaint.
I have read, and agree to
policies for this website.(REQUIRED)

I am requesting assistance with a refund or adjustment and I understand that I will be billed $12 (US) if I submit on-line. (If you do not request assistance your complaint will be reviewed and filed.) dr.mr.ms full name: company:(if applicable) address: city:state/province: zip/postal code:country:e-mail:

THE ORGANIZATION ABOUT WHICH YOU HAVE A COMPLAINT

organization:(contact information below is optional) address: city:state/province:country: zip/postal code: summary of your complaint, including any relevant dates and contacts: (Please mail additional pages to us if appropriate.) date:(MMDDYY)
If you are requesting assistance you will be billed $12 (US).

signature (for off-line submissions)__________________________________________
Chris Granneman, Publisher

a publication of Vireon Media

Gary Granneman, Editor
7243 North Audubon Road, Indianapolis Indiana 46250 USA editor@ripoffs.org
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