Enquiry / Complaint Form

Personal Information collected on this form is protected under the Privacy Act.

Enquirer / Complainant's information:

Last Name:
First Name:
Company Name (if applicable):
Street Address:	Apt. #
City:
Province/State:
Postal/Zip Code:
Country:
Phone number (home):
Phone number (office):
Phone number (other):
Email Address:

Company or person complained against

Company Name (required):
Contact Name:
Street Address:	Apt. #
City:
Province/State:
Postal/Zip Code:
Country:
Phone number:
Fax number:
Email / Web site:

Details of the complaint:
(products and or services supplied, product name and description)

For more information

Do not hesitate to contact us if you require additional information regarding the Competition Act, the Consumer Packaging and Labelling Act, the Textile Labelling Act, the Precious Metals Marking Act. We will be also pleased to answer any questions that you may have regarding the Competition Bureau.

The information on this form will be submitted to the
Competition Bureau's Information Centre through a secure server.
This is designed to protect confidential information.

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		Updated: 2004-03-29	Top of Page	Important Notices