Amazon.com Consumer Fraud

Form Name

Created

First name*

Last name*

Email*

Phone number*

Address

City*

State*

Zip*

Have you purchased products from Amazon within the past year?*

What did you purchase?*

Are you a Prime member?*

Do you still have access to your Amazon account?*

If asked, would you be able to submit receipts? (not necessary) *

How many products do you purchase online in a typical month? *

Upload relevant documents or photos for the legal team's review.

Additional information

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