BM AUDIO appreciates your input in submitting this form. Before you submit, we would like to remind you that you should already have received confirmation, or at the very least have a high degree of certainty that what you purchased or encountered is a fake. And, you must at least have access to or in possess some form of credible evidence as grounds to your allegation for the report. Thorough investigation will be conducted with your report and evidence before the allegation can be substantiated.

* Indicates required fields.

Information on counterfeit Importer/Wholesaler/Reseller

*Where did you see / purchase product:	Please select On the internet In a shop Installed in a car At a show/expo Advertised on print Offered by someone in person At an auction At an open marketplace Open warehouse sale Free gift from someone Other
*Business name:	Example: ABC Flea Market Co.,Ltd.
*Complete at least either section A or B (or both):
A) Business address:
Business telephone:
Business e-mail:
B) Website URL:	(Enter the website address if this product was seen, offered or displayed)

Information on alleged counterfeit / fake product:

*Brand name printed on product:	Enter the brand name you see printed on the fake product e.g. "BM AUDIO", “BM LABS”
*Model number:	Enter the model name you see of the alleged fake product e.g.
*Type of product:	Please select Player/receiver Power amplifier Processor Equalizer Crossover Loudspeaker Capacitor Battery Cable/wires Other
* Comment:	Describe why you believe what you saw is a fake BM product
If you have self-made images of the alleged fake product, you may upload them here (NOTE: Please do not download, save and upload pictures from other websites). Before you upload, you must warrant that all your images belong to you and that you have full rights to them, and that you grant us all those rights including rights to use them in any way we decide. Images you upload to us in this report will become the property of BM AUDIO LABS, Inc. and may be used by BM AUDIO to display on this Website or any of our operated websites, or as evidence for prosecution against suspected counterfeiters and dealers and for other related purposes to deter/prevent any other counterfeit activities. If you agree to the above, you may upload and submit your images. If you do not, please do not upload your images to us. Uploading and submitting any images shall be brought to mean you have agreed to the above conditions. * I understand and agree          I do not agree
Please refer to Guide to Taking Your Photos before uploading
File:   Browse    Title:    Click the button above to select a file from your computer. File:   Browse    Title:   Remove Click the button above to select a file from your computer. File:   Browse    Title:   Remove Click the button above to select a file from your computer. Add files      Clear files
* Can we or an appointed investigator contact you for additional information? Yes No The manufacturer or an investigator may or may not contact you depending on their policy, resources and their need for additional information.

Information about yourself:

*Title:	Please select Mr. Ms. Mrs. DR.
*Your name:	* First name	* Last name
Company:
*Profession:
*Age:
*Country / Region:	Please select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia External Territories of Australia Falkland Islands Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey and Alderney Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau S.A.R. Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Man (Isle of) Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles Netherlands The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Occupied Panama Papua new Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Smaller Territories of the UK Solomon Islands Somalia South Africa South Georgia South Sudan Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
*State / Province / Region:	Please select
*City:	Please select
*Address:
Zip / Postal code:
*E-mail:
*Re-enter e-mail:
*Tel. no.:	* Area code	* No.
*What code in the image?:	Enter all characters (without spaces) shown in the image.
* Yes, I have read and agree to the Terms of Use