Defective Cameras (chip failure)

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Fields marked * are required.

Defendant:
(who caused the harm?)

*Describe your complaint:
(briefly describe the damages you have suffered)

Which brand did you purchase: Sony, Konica Minolta, Fuji, Canon, Nikon, Ricoh or Olympus?

What date did you purchase the product?

Was the item purchased a camera, camcorder or hand-held computer?

What model did you purchase (i.e. PowerShot, CoolPix, etc.)?

What was the model number (i.e. Canon PowerShot A300, or Olympus C-5050 Zoom, etc.)?

Did your camera, camcorder or hand-held computer fail?

Yes No

What date did it fail?

How did it fail?

Where were you when it failed (i.e. Los Angeles, Mexico, etc.)?

Was the camera, camcorder or hand-held computer subjected to any inappropriate uses?

Yes No

Additional details of complaint, if any:

*First name:

*Last name:

*Email address:

*Confirm email address:

*Phone number(s):

*Zip/Postal Code:

Best time & way to contact you:

I would like to be interviewed by a journalist.

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Defective Cameras (chip failure)