Dma/bbb Dispute Resolution Program Complaint Form

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DMA/BBB Dispute Resolution Program
Complaint Form
Please provide the information requested and attached any documents that will help us better
understand the dispute.
SECTION 1: Your Contact Information
Your Name:
Your Title/Position:
Your Company/Organization:
Mailing address:
City:
State:
Zip code:
Day phone:
Evening phone:
Cell phone:
Fax:
E-mail address:
SECTION 2: Contact Information of Supplier
Name (primary contact):
His/Her Title or Position:
Vendor Company/Organization:
Mailing address:
City:
State:
Zip code:
Day phone:
Evening phone:
Cell phone:
Fax:
E-mail address:
1

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