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Piracy Report Form

The following information is provided by you confidentially and is not compulsory. However it is valuable to enable us to thoroughly investigate your complaint.

All section marked with * are compulsory.

1. Your Details
Name:
Address:
Email:
Phone:
How would you like to be contacted?
Phone          Email      Please do not contact me
2. Alleged pirate's details
*Name / Company:
Address:
Contact Number:
Email:
*Location of pirate product:
*Information is in respect of:
Pirate music being sold in retail stores   Pirate music being sold over the internet   CD burning   Illegal downloads   File sharing   Other
Please Specify:
*Music Product:
CD's   MP3   DVD's   Other
Who are the artists/songs being pirated? :
*Why do you suspect the product is pirate? :
*Are they advertising the pirate products? :
Yes       No
Where?:
*Have you purchased any of the pirate product? :
Yes       No
Do you have the receipt? :
Yes       No
* Do you have a copy of the pirate product to send to us or to describe to us? :
Yes       No
Description:
Do you know where the pirate product is being manufactured? :
Do you have any other information? :
Please enter the following text:

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