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What is the nature of your complaint?
Name of Event: ____________________________________________________ Date of Purchase:______________ Time of Event: ________
Number of Tickets: ____ Amount Paid per Ticket: $______ Method of Payment: _________________ (Cash, Credit Card, Check, Barter, Other) Name of Broker Complained About?___________________________
Did you receive tickets from the Broker? Yes ___ No ___ If yes, how did you get delivery of the tickets? ______________________________________ Do you know the name of the person(s) you dealt with at that
broker?___________________________ You should include a copy of any receipts, documents of contracts which may assist the committee in making an equitable determination. You may be entitled to compensation if our consumer complaint committee makes a decision in your favor. You and the broker have the right of appeal when the committee renders their decision and you will be advised of the appeal procedure. You will be forwarded a copy of the CSTBA complaint committee's determination and reason(s) for same. Thank you for taking the time to call and complete this form. The CENTRAL STATES TICKET BROKERS ASSOCIATION appreciates your patronage!! Your Name_____________________________________ Address ____________________________ City _______________State______ Zip __________
Home Phone________________ Work Phone ________________ Cell Phone __________________
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Mail this form Certified Return Receipt to: |
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