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Your Name
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Your Phone Number
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Your Email Address
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What is the name of the business against which you wish to claim?
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What is their phone number?
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What is their website URL?
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Who is the contact person for the business?
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What is the email address for the contact person?
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To what extent have you tried to resolve your dispute?
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I have phoned them about the matter.
I have written to them to complain.
I have sent to them a letter of demand.
I have complained to the ACCC.
I have complained to ASIC.
I have engaged a lawyer.
I have contacted ScamWatch.
I have contacted the Police.
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