Seller of Travel Consumer Complaint

For information on the collection and use of personal information, please see our notice, Information Collection, Use and Access.

Your Information

Information on the Business

Business Name*


Business Address
Street Address*		Street Address 2


City*


State*		Zip*
		-

Country*	Business Email Address


Business Phone Number	Business Website (if known)
X

Business Primary Contact
First Name	Middle Name	Last Name


Primary Email


How did you hear about this company? (eg: advertisement, internet, friend or other)


Registration Number (CST# - if known)


Type of Complaint*


Date of Transaction (mm/dd/yyyy)	Form of Payment


Amount Paid	Disputed Amount
$	$

Your Complaint

Message*

Attachment (if Any)

Statement


You can send this complaint to the party I am complaining about, and I authorize that party to release any and all information with regard to this complaint to the Department of Justice.	Yes	No

In sending this complaint, I understand that the Attorney General's office cannot answer legal questions or give legal advice to me and cannot act as my personal lawyer.

By submitting this form, I certify that I understand that the Attorney General does not represent private citizens seeking the return of money or other personal remedies.

I affirm that the foregoing information is true and accurate.