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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <html> <head><script type="text/javascript" src="https://web-static.archive.org/_static/js/bundle-playback.js?v=7YQSqjSh" charset="utf-8"></script> <script type="text/javascript" src="https://web-static.archive.org/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="https://web-static.archive.org/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("http://www.consumeraffairs.com:80/php/a_report.php","20091228021457","https://web.archive.org/","web","https://web-static.archive.org/_static/", "1261966497"); </script> <link rel="stylesheet" type="text/css" href="https://web-static.archive.org/_static/css/banner-styles.css?v=p7PEIJWi" /> <link rel="stylesheet" type="text/css" href="https://web-static.archive.org/_static/css/iconochive.css?v=3PDvdIFv" />  <title>Consumer Complaint Form </title> <meta name="description" content="Consumer Complaint Form"> <meta name="keywords" content="Consumer Complaint Form, consumer, complaints, problems, warranty, service, refund"> <link rel="stylesheet" type="text/css" href="/web/20091228021457cs_/http://www.consumeraffairs.com/php/ca.css"> </head> <body bgcolor="#FFFFFF"> <table width="1024" border="0" cellspacing="0" cellpadding="0" align="center"> <tr> <td width="210" valign="middle" height="45"> <a href="/web/20091228021457/http://www.consumeraffairs.com/index.html">  <img src="/web/20091228021457im_/http://www.consumeraffairs.com/php/logo_210.jpg" width="210" height="43" border="0"></a> </td> <td width="450" align="left" valign="middle"> <a href="/web/20091228021457/http://www.consumeraffairs.com/news04/" class="black">CONSUMER NEWS</a>    <a href="/web/20091228021457/http://www.consumeraffairs.com/recalls/" class="black">RECALLS</a>    <a href="/web/20091228021457/http://www.consumeraffairs.com/php/a_report.php" class="black">COMPLAINT FORM</a>    <a href="/web/20091228021457/http://www.consumeraffairs.com/scam_alerts/" class="black">SCAM ALERTS</a>   <br> <a href="/web/20091228021457/http://www.consumeraffairs.com/consumerism/small_claim_01.htm" class="black">Small Claims Guide</a>   <a href="/web/20091228021457/http://www.consumeraffairs.com/class_actions/" class="black">Class Actions</a>   <a href="/web/20091228021457/http://www.consumeraffairs.com/lemon_law/" class="black">Lemon Laws</a>   <a href="/web/20091228021457/http://www.consumeraffairs.com/consumerism/faq.html" class="black">FAQ</a>   <a href="/web/20091228021457/http://www.consumeraffairs.com/newsletters/0000.html" class="black">Newsletters</a>   </td> <td width="324" align="right" valign="middle"> </td> </tr> </table> <table width="1024" border="0" cellspacing="0" cellpadding="0" align="center"> <tr align="center" valign="middle"> <td height="50" bgcolor="#4f4f4f" valign="middle"> <a class="nav1" href="/web/20091228021457/http://www.consumeraffairs.com/automotive/">Automotive</a>    <a class="nav1" href="/web/20091228021457/http://www.consumeraffairs.com/education/">Education</a>    <a class="nav1" href="/web/20091228021457/http://www.consumeraffairs.com/electronics.html">Electronics</a>    <a class="nav1" href="/web/20091228021457/http://www.consumeraffairs.com/family/">Family</a>    <a class="nav1" href="/web/20091228021457/http://www.consumeraffairs.com/finance/financial_services.htm">Finance</a>    <a class="nav1" href="/web/20091228021457/http://www.consumeraffairs.com/health/">Health</a>    <a class="nav1" href="/web/20091228021457/http://www.consumeraffairs.com/homeowners/homeowners.htm">Homeowners</a>    <a class="nav1" href="/web/20091228021457/http://www.consumeraffairs.com/shopping/">Shopping</a>    <a class="nav1" href="/web/20091228021457/http://www.consumeraffairs.com/travel/">Travel</a>    </td> </tr> </table>  <table align="center" border="0" width="1024"> <tr> <td width="111"><a name="top"></a></td> <td colspan="2" width="478"> <br> <h1>Consumer Comment Form</h1> </td> </tr> <tr> <td width="111" valign="top" bgcolor="#ffffff"> </td> <td width="430" valign="top"> <p class="small"> ConsumerAffairs.com is a private, non-govermental entity that empowers consumers by providing a forum for their complaints and a means for them to be contacted by lawyers if their complaints have legal merit. Your complaints and comments may be published, shared with the news media and reviewed by attorneys at no cost to you. See the <a href="/web/20091228021457/http://www.consumeraffairs.com/consumerism/faq.html">FAQ</a> for more information. <br><br> Please be accurate and fair in your comments. Remember, you are responsible for what you write. We do not proofread your submission so please type carefully -- and <strong>please, don't use all capital letters</strong>. </p> <form method="POST" action="/web/20091228021457/http://www.consumeraffairs.com/CA/do_datarpt.php"> <p class="small"><strong>Consumer Information</strong> Information about you. We do not publish your identity but must have it for our records. If your complaint is published, only your first name will be used on our Web site. See <a href="/web/20091228021457/http://www.consumeraffairs.com/privacy_policy.htm">privacy policy</a> for more information. Reports become the property of ConsumerAffairs.com Inc. and may be published, edited or discarded at our sole option.</p> <p class="small">Fields with an asterisk are required</strong></p> <table cellspacing="2" cellpadding="2" border="0" width="100%"> <tr bgcolor="#eeeeee"> <td width="40%"><p class="small">*Your name</p></td> <td><p class="small"><input type="text" name="Name" size="30"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">*Your Address</p></td> <td><p class="small"><input type="text" name="address" size="30"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">*City </p></td> <td><p class="small"><input type="text" name="city" size="30"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">*State/Province</p></td> <td> <select name="CStProv"> <option value=""> <option value="AL">Alabama <option value="AK">Alaska <option value="AB">Alberta <option value="AZ">Arizona <option value="AR">Arkansas <option value="BC">British Columbia <option value="CA">California <option value="CO">Colorado <option value="CT">Connecticut <option value="DE">Delaware <option value="DC">District of Columbia <option value="FL">Florida <option value="GA">Georgia <option value="HI">Hawaii <option value="ID">Idaho <option value="IL">Illinois <option value="IN">Indiana <option value="IA">Iowa <option value="KS">Kansas <option value="KY">Kentucky <option value="LA">Louisiana <option value="ME">Maine <option value="MB">Manitoba <option value="MD">Maryland <option value="MA">Massachusetts <option value="MI">Michigan <option value="MN">Minnesota <option value="MS">Mississippi <option value="MO">Missouri <option value="MT">Montana <option value="NE">Nebraska <option value="NV">Nevada <option value="NB">New Brunswick <option value="NL">Newfoundland & Labrador <option value="NH">New Hampshire <option value="NJ">New Jersey <option value="NM">New Mexico <option value="NY">New York <option value="NC">North Carolina <option value="ND">North Dakota <option value="NT">Northwest Territories <option value="NS">Nova Scotia <option value="NU">Nunavut <option value="OH">Ohio <option value="OK">Oklahoma <option value="ON">Ontario <option value="OR">Oregon <option value="PA">Pennsylvania <option value="PE">Prince Edward Island <option value="QC">Quebec <option value="RI">Rhode Island <option value="SK">Saskatchewan <option value="SC">South Carolina <option value="SD">South Dakota <option value="TN">Tennessee <option value="TX">Texas <option value="UT">Utah <option value="VT">Vermont <option value="VA">Virginia <option value="WA">Washington <option value="WV">West Virginia <option value="WI">Wisconsin <option value="WY">Wyoming <option value="YT">Yukon <option value="Other">Other </select> </td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">*Zip</p></td> <td><input type="text" name="zip3" size="10"></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">*Country</p></td> <td><p class="small"></p> <select name="CustCountry"> <option value="United States">United States</option> <option value="Afganistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antigua & Barbuda">Antigua & Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Azores">Azores</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bonaire">Bonaire</option> <option value="Bosnia & Herzegovina">Bosnia & Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean Ter">British Indian Ocean Ter</option> <option value="Brunei">Brunei</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Canary Islands">Canary Islands</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Channel Islands">Channel Islands</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos Island">Cocos Island</option> <option value="Columbia">Columbia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote DIvoire">Cote D'Ivoire</option> <option value="Croatia">Croatia</option> <option value="Cuba">Cuba</option> <option value="Curaco">Curacao</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="East Timor">East Timor</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands">Falkland Islands</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Ter">French Southern Ter</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Great Britain">Great Britain</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Hawaii">Hawaii</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Isle of Man">Isle of Man</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea North">Korea North</option> <option value="Korea Sout">Korea South</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macau">Macau</option> <option value="Macedonia">Macedonia</option> <option value="Madagascar">Madagascar</option> <option value="Malaysia">Malaysia</option> <option value="Malawi">Malawi</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Midway Islands">Midway Islands</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Nambia">Nambia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherland Antilles">Netherland Antilles</option> <option value="Netherlands">Netherlands</option> <option value="Nevis">Nevis</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palau Island">Palau Island</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Phillipines">Philippines</option> <option value="Pitcairn Island">Pitcairn Island</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russia">Russia</option> <option value="Rwanda">Rwanda</option> <option value="St Barthelemy">St Barthelemy</option> <option value="St Eustatius">St Eustatius</option> <option value="St Helena">St Helena</option> <option value="St Kitts-Nevis">St Kitts-Nevis</option> <option value="St Lucia">St Lucia</option> <option value="St Maarten">St Maarten</option> <option value="St Pierre & Miquelon">St Pierre & Miquelon</option> <option value="St Vincent & Grenadines">St Vincent & Grenadines</option> <option value="Saipan">Saipan</option> <option value="Samoa">Samoa</option> <option value="Samoa American">Samoa American</option> <option value="San Marino">San Marino</option> <option value="Sao Tome & Principe">Sao Tome & Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Seychelles">Seychelles</option> <option value="Serbia & Montenegro">Serbia & Montenegro</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovakia">Slovakia</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Tahiti">Tahiti</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad & Tobago">Trinidad & Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks & Caicos Is">Turks & Caicos Is</option> <option value="Tuvalu">Tuvalu</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Erimates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="Uraguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State">Vatican City State</option> <option value="Venezuela">Venezuela</option> <option value="Vietnam">Vietnam</option> <option value="Virgin Islands (Brit)">Virgin Islands (Brit)</option> <option value="Virgin Islands (USA)">Virgin Islands (USA)</option> <option value="Wake Island">Wake Island</option> <option value="Wallis & Futana Is">Wallis & Futana Is</option> <option value="Yemen">Yemen</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">*E-mail</p></td> <td><p class="small"><input type="text" name="email" size="20"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">Home phone</p></td> <td><p class="small"><input type="text" name="hphone" size="18"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">Work phone</p></td> <td><p class="small"><input type="text" name="wphone" size="18"></p></td> </tr> <tr bgcolor="#eeeeee"> <td colspan="2"><p class="small"><strong>Perpetrator</strong> The product, service, company, store, Web site or person that you are complaining about. Please be exact. Many businesses have similar names.</p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">*Business Name</p></td> <td><p class="small"><input type="text" name="perpname" size="30"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">Individual you dealt with, if any</p></td> <td><p class="small"><input type="text" name="perpindivid" size="30"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">Address</p></td> <td><p class="small"><input type="text" name="perpadd" size="30"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">City</p></td> <td><p class="small"><input type="text" name="perpcity" size="30"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">State/Province</td> <td> <select name="PStProv"> <option value=""> <option value="AL">Alabama <option value="AK">Alaska <option value="AB">Alberta <option value="AZ">Arizona <option value="AR">Arkansas <option value="BC">British Columbia <option value="CA">California <option value="CO">Colorado <option value="CT">Connecticut <option value="DE">Delaware <option value="DC">District of Columbia <option value="FL">Florida <option value="GA">Georgia <option value="HI">Hawaii <option value="ID">Idaho <option value="IL">Illinois <option value="IN">Indiana <option value="IA">Iowa <option value="KS">Kansas <option value="KY">Kentucky <option value="LA">Louisiana <option value="ME">Maine <option value="MB">Manitoba <option value="MD">Maryland <option value="MA">Massachusetts <option value="MI">Michigan <option value="MN">Minnesota <option value="MS">Mississippi <option value="MO">Missouri <option value="MT">Montana <option value="NE">Nebraska <option value="NV">Nevada <option value="NB">New Brunswick <option value="NL">Newfoundland & Labrador <option value="NH">New Hampshire <option value="NJ">New Jersey <option value="NM">New Mexico <option value="NY">New York <option value="NC">North Carolina <option value="ND">North Dakota <option value="NT">Northwest Territories <option value="NS">Nova Scotia <option value="NU">Nunavut <option value="OH">Ohio <option value="OK">Oklahoma <option value="ON">Ontario <option value="OR">Oregon <option value="PA">Pennsylvania <option value="PE">Prince Edward Island <option value="QC">Quebec <option value="RI">Rhode Island <option value="SK">Saskatchewan <option value="SC">South Carolina <option value="SD">South Dakota <option value="TN">Tennessee <option value="TX">Texas <option value="UT">Utah <option value="VT">Vermont <option value="VA">Virginia <option value="WA">Washington <option value="WV">West Virginia <option value="WI">Wisconsin <option value="WY">Wyoming <option value="YT">Yukon <option value="Other">Other </select> </td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">Zip</td> <td><input ype="text" name="zip2" size="10"></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">Country</p></td> <td><p class="small"> <select name="CompCountry"> <option value="United States">United States</option> <option value="Afganistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antigua & Barbuda">Antigua & Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Azores">Azores</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bonaire">Bonaire</option> <option value="Bosnia & Herzegovina">Bosnia & Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean Ter">British Indian Ocean Ter</option> <option value="Brunei">Brunei</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Canary Islands">Canary Islands</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Channel Islands">Channel Islands</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos Island">Cocos Island</option> <option value="Columbia">Columbia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote DIvoire">Cote D'Ivoire</option> <option value="Croatia">Croatia</option> <option value="Cuba">Cuba</option> <option value="Curaco">Curacao</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="East Timor">East Timor</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands">Falkland Islands</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Ter">French Southern Ter</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Great Britain">Great Britain</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Hawaii">Hawaii</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Isle of Man">Isle of Man</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea North">Korea North</option> <option value="Korea Sout">Korea South</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macau">Macau</option> <option value="Macedonia">Macedonia</option> <option value="Madagascar">Madagascar</option> <option value="Malaysia">Malaysia</option> <option value="Malawi">Malawi</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Midway Islands">Midway Islands</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Nambia">Nambia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherland Antilles">Netherland Antilles</option> <option value="Netherlands">Netherlands</option> <option value="Nevis">Nevis</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palau Island">Palau Island</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Phillipines">Philippines</option> <option value="Pitcairn Island">Pitcairn Island</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russia">Russia</option> <option value="Rwanda">Rwanda</option> <option value="St Barthelemy">St Barthelemy</option> <option value="St Eustatius">St Eustatius</option> <option value="St Helena">St Helena</option> <option value="St Kitts-Nevis">St Kitts-Nevis</option> <option value="St Lucia">St Lucia</option> <option value="St Maarten">St Maarten</option> <option value="St Pierre & Miquelon">St Pierre & Miquelon</option> <option value="St Vincent & Grenadines">St Vincent & Grenadines</option> <option value="Saipan">Saipan</option> <option value="Samoa">Samoa</option> <option value="Samoa American">Samoa American</option> <option value="San Marino">San Marino</option> <option value="Sao Tome & Principe">Sao Tome & Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Seychelles">Seychelles</option> <option value="Serbia & Montenegro">Serbia & Montenegro</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovakia">Slovakia</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Tahiti">Tahiti</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad & Tobago">Trinidad & Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks & Caicos Is">Turks & Caicos Is</option> <option value="Tuvalu">Tuvalu</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Erimates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="Uraguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State">Vatican City State</option> <option value="Venezuela">Venezuela</option> <option value="Vietnam">Vietnam</option> <option value="Virgin Islands (Brit)">Virgin Islands (Brit)</option> <option value="Virgin Islands (USA)">Virgin Islands (USA)</option> <option value="Wake Island">Wake Island</option> <option value="Wallis & Futana Is">Wallis & Futana Is</option> <option value="Yemen">Yemen</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">Telephone</p></td> <td><p class="small"><input type="text" name="perphone" size="18"></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">*What happened? Use as much space as you need.</p></td> <td><p class="small"> <textarea rows="8" name="S1" cols="40"></textarea></p></td> </tr> <tr bgcolor="#eeeeee"> <td><p class="small">Consequences. Describe the economic or physical damage that resulted.</p></td> <td><p class="small"><textarea rows="4" name="S2" cols="40"></textarea></p></td> </tr> <tr> <td colspan="2"><p class="small">We work with attorneys with specific expertise in many areas of consumer law. It is sometimes necessary for them to contact you in order to determine whether there is a legal remedy for your complaint. There is no charge for any such consultation. Check below if you DO NOT want to be contacted by an attorney.</p></td> <td><p class="small"></p></td> </tr> <tr> <td colspan="2" style="margin:1em;"><p class="small"><input type="checkbox" name="C1" value="ON">I do <b>not</b> want an attorney to contact me about my complaint.</p> </td> </tr> <tr> <td> <div style="margin:1em 0 1em 0;"> <script type="text/javascript" src="https://web.archive.org/web/20091228021457js_/https://api-secure.recaptcha.net/challenge?k=6Lcx1wUAAAAAAOl49kmPWZMQcWDKqE9m4j_vwJAz"></script> <noscript> <iframe src="https://web.archive.org/web/20091228021457if_/https://api-secure.recaptcha.net/noscript?k=6Lcx1wUAAAAAAOl49kmPWZMQcWDKqE9m4j_vwJAz" height="300" width="500" frameborder="0"></iframe><br/> <textarea name="recaptcha_challenge_field" rows="3" cols="40"></textarea> <input type="hidden" name="recaptcha_response_field" value="manual_challenge"/> </noscript></div> </td> </tr> <tr> <td><p class="small"><input type="submit" value="Submit" name="B1"> <br><br> <input type="reset" value="Reset" name="B2"></p></td> <td><p class="small">Press "Submit" to send your complaint.  <font color="red"> It may take a minute or more for your complaint to upload. Please DO NOT PRESS THE "SUBMIT" BUTTON MORE THAN ONCE.</p></td> </tr> </table> </form> <p class="small">Thank you.  That's all we need for now.  Your report will be evaluated and if more information is needed, we will contact you. </td> <td width="133" valign="top" bgcolor="#ffffff"> </td> </tr> <tr> </tr> </table>  </body> </html>