Select Type of Piracy*

End User - For piracy at the company where you work or have workedDistributor - For Reporting companies that illegally sell/distribute software

Company you are reporting*

What Type of Company Is It?*

Country*

State*

City*

Precinct

Street Address*

Suite

Company Website

Company Phone Number

# Employees

How many computers in the company?*

1 - 56 - 1011 - 1516 - 2021 - 3031 - 4041 - 5051 - 7576 - 100100+

Software*	# Installed	# of Licenses
Software*	# Installed	# of Licenses

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Any other information we should have?*

Your Name

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Only if you wish to receive periodic updates regarding your report.

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