Your Phone (optional)
Where did you receive a complaint or objection (business name, city, state)?*
Who confronted you (customer, employee, management)?*
Describe what happened in as much detail as possible. Were you allowed to complete your purchase? Were you told health codes or liability was why you're not allowed?
Do you have a document or picture to attach?
Please type what you see:
If form fails, please email: firstname.lastname@example.org
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