CONSUMER COMPLAINT FORM - Georgia Governor's Office of ...

and that this information may be used to establish violations of Georgia law. The information provided is true and correct to the best of your knowledge. _____ _____ _____ PRINT NAME SIGNATURE DATE CONSUMER COMPLAINT FORM GEORGIA DEPARTMENT OF LAW, CONSUMER PROTECTION UNIT 2 MARTIN LUTHER KING, JR. DRIVE SE, SUITE 356 ATLANTA, GEORGIA 30334-9077 ................
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