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WHAT IS THE EXACT ADJUSTMENT YOU ARE REQUESTING FROM THE COMPANY TO THE CUSTOMER MAIL THIS COMPLETED AND SIGNED FORM BACK TO YOUR BBB. COMPLAINT FORM Better Business Bureau serving Alaska Oregon Western Washington Your privacy is important to us. Our privacy policy can be found at www. bbb. org or by contacting us. Your Better Business Bureau recommends filing your complaint online at www. COMPLAINT FORM Better Business Bureau serving Alaska Oregon Western Washington Your privacy is important to us. Our privacy policy can be found at www. bbb. org or by contacting us. Your Better Business Bureau recommends filing your complaint online at www. bbb. org. IMPORTANT COMPLETE ALL FOUR SECTIONS COMPANY NAME CONSUMER NAME COMPANY ADDRESS CITY STATE ZIP CONSUMER ADDRESS CITY STATE ZIP COMPANY EMAIL CONSUMER EMAIL COMPANY PHONE CONSUMER HOME PHONE CONSUMER WORK PHONE DATE S YOU COMPLAINED TO CO. TO WHOM PRODUCT/SERVICE BRAND NAME MODEL NAME OR NO. ORDER CONTRACT ACCOUNT if applicable IF ADVERTISING INVOLVED WHERE/WHEN AMOUNT INVOLVED NAME OF SALESPERSON DATE PROBLEM OCCURRED WHAT IS YOUR COMPLAINT If you have any relevant documents such as contracts receipts or cancelled checks please include a copy. YOUR SIGNATURE GIVES BBB PERMISSION TO RELEASE THIS INFORMATION TO REGULATORY CUSTOMER SIGNATURE DATE AUTHORITIES AS NECESSARY. P. O. Box 1000 DuPont WA 98327 Alaska 907 562-0704 Oregon 503 212-3022 Washington 206 431-2222 or 253 830-2924 Fax 206 431-2200 The text of your complaint will be publicly posted on the BBB Website BBB reserves the right to not post in accordance with BBB policy. Please do not include any personally identifiable information in describing the nature of your complaint* By submitting your complaint you are representing that it is a truthful account of your experience with the business. Our privacy policy can be found at www. bbb. org or by contacting us. Your Better Business Bureau recommends filing your complaint online at www. bbb. org. IMPORTANT COMPLETE ALL FOUR SECTIONS COMPANY NAME CONSUMER NAME COMPANY ADDRESS CITY STATE ZIP CONSUMER ADDRESS CITY STATE ZIP COMPANY EMAIL CONSUMER EMAIL COMPANY PHONE CONSUMER HOME PHONE CONSUMER WORK PHONE DATE S YOU COMPLAINED TO CO. bbb. org. IMPORTANT COMPLETE ALL FOUR SECTIONS COMPANY NAME CONSUMER NAME COMPANY ADDRESS CITY STATE ZIP CONSUMER ADDRESS CITY STATE ZIP COMPANY EMAIL CONSUMER EMAIL COMPANY PHONE CONSUMER HOME PHONE CONSUMER WORK PHONE DATE S YOU COMPLAINED TO CO. TO WHOM PRODUCT/SERVICE BRAND NAME MODEL NAME OR NO. ORDER CONTRACT ACCOUNT if applicable IF ADVERTISING INVOLVED WHERE/WHEN AMOUNT INVOLVED NAME OF SALESPERSON DATE PROBLEM OCCURRED WHAT IS YOUR COMPLAINT If you have any relevant documents such as contracts receipts or cancelled checks please include a copy. YOUR SIGNATURE GIVES BBB PERMISSION TO RELEASE THIS INFORMATION TO REGULATORY CUSTOMER SIGNATURE DATE AUTHORITIES AS NECESSARY. P. O. Box 1000 DuPont WA 98327 Alaska 907 562-0704 Oregon 503 212-3022 Washington 206 431-2222 or 253 830-2924 Fax 206 431-2200 The text of your complaint will be publicly posted on the BBB Website BBB reserves the right to not post in accordance with BBB policy. .

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