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Andrea Rosa Jr EX-1257 10558-2022

Create: Thu, 07/13/2023 - 22:14

Author: admin

Andrea

Rosa Jr

EX-1257

10558-2022

Thu, 12/15/2022 - 19:00

Andre_Rosa_Jr.pdf81.72 KB

PENNSYLVANIA

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NAME OF INDIVIDUAL FILING A DISPUTE OR COMPLAINT

First Name

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LAST NAME:

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Last?

HOME ADDRESS:

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Address

Address 2

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State/Province

ZIP/Postal Code

PHONE NUMBER:

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DATE AND APPROX TIME OF INCIDENT:

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Complaint Number:

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ONLINE SITE USED:

Online Site Used*

DEVICE TYPE:

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USER/SCREEN NAME USED:

User / Screen Name Used

Please provide a summary of the incident or dispute to the best of your knowledge. Include any statements which you made to the licensed gaming entity's personnel or any statements you made to witnesses to the incident or dispute.

Please provide a summary of the incident or dispute to the best of your knowledge. Include any statements which you made to the licensed gaming entity's personnel or any statements you made to witnesses to the incident or dispute.

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While NOT REQUIRED to file a complaint, after completing this form, if you have items (texts, screen shots, emails, etc.) relating to this complaint, you can send them in a separate email. For instructions, please reference the confirmation email that will be sent you once this form is submitted

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