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Licensing > Confidential Report of Possible Piracy

CONFIDENTIAL REPORT OF POSSIBLE PIRACY

Reporter(You) : 

  First Name  
  Last Name  
  E-mail  
  Telephone  
  Company  
  Job Title  
  Address 1  
  Address 2  
  City  
  State/Province  
  Post/Zip Code  
  Country  

 

Suspect of Piracy : (Fields with * are required.)

  First Name  
  Last Name  
  Company*  
  Address 1  
  Address 2  
  City  
  State/Province  
  Post/Zip Code  
  Country*  

Which Thermoflow product(s) is the Suspect using illegally? 

  

Please describe your relationship with the Suspect. 

  

Do you have definite proof of wrongdoing or only suspicion? 

  

Are you willing to testify under oath if needed?