1. Would you like to remain anonymous?
Yes (skip to question 3)
No
Your Details
Name
Address
Email
Phone Number
2. Would you like to be contacted by AFACT or law enforcement?
Yes
No
3. Suspect's Details
Suspect Name / Company
Address
Contact Number
Email
Website
4. Information is in respect of:
Optical Discs
Websites / Auction sites / forums
File sharing / Streaming
Others:
5. Product Type:
DVDs
Blu Rays
MPEG 4, AVI, DivX disc
Others:
6. List the movie / TV program titles(s) below:
7. What indications are there this product is illegal? E.g. the movie cover, price, availability of the film? Please give as much detail as possible.
8. Are they advertising infringing products?
Yes
No
9. Have you purchased any of the infringing products?
Yes
No (skip to question 14)
10. What method did you use to purchase this product? I.E. if hard goods, quote a specific word: if online, did you contact the seller?
11. What did you observe?
12. Do you have a copy of the infringing product to send or describe to us?
Yes
No
13. How much did you pay for the infringing product(s)?
14. What quantity of stock did they carry?
15. Do you have any other information?
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