Fill in what you know. If you don't know or if it doesn't apply, leave it blank.
*Required

We will check our records to verify if the number you provided is registered on the National Do Not Call Registry.
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Select an option from the list that best describes what the telemarketing call was about. If you don't see an option that accurately describes the call, please select “Other” and provide a short description in your own words. If you’re unsure of which option would best fit, select “Unknown”.
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*Required

Please provide the month, day, and year that you received the call. If you have the specific time that the call occurred, please also provide the hour and minute. If you're unsure of the exact date, please estimate.
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Telemarketers may call a consumer whose number is on the National Do Not Call Registry if the seller has an established business relationship with the consumer—provided the consumer has not asked to be on the seller's entity-specific do not call list. Please indicate if you have a prior relationship with the company that called you.
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If you have done business with the company within the last 18 months or have requested information from it within the last 3 months, the company may call you unless you have asked it to put your number on the company’s do not call list.