The purpose of this form is to express all of the facts, allegations,
information, data and documentation concerning your complaint about a
member of the NATB. You may be entitled to compensation if a decision is
made in your favor. Either party involved has the right to an appeal, as
outlined in the
NATB Complaint Procedures.
Today's Date_____________ Date of Purchase____________
Name of Event_________________________ Event Date__________ Event Time________
Amount Paid Per Ticket $__________ Quantity of Tickets ________
Name of the Broker complaint is about_______________________________
Did you receive tickets from broker yes no If yes how were the tickets delivered?____________
What is the name of the person you spoke with at the Company? __________________________
What is the nature of your complaint? (continue on reverse side if needed):
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Your Name______________________________ Address___________________________________
Home Phone (_____)_____________________ Work Phone (_____) __________________
Thank you for taking the time to fill out this form. The Broker will have a chance to reply in writing and the complaint committee will make a determination that will be forwarded to you. Please include a copy of any receipts, supporting
documentation, or contracts that you may have. By signing this form I also waive the confidentiality of information and documentation provided and I understand that any information or documentation may be provided to concerned
parties including but not limited to members of any panel reviewing this complaint, the accused member, potential witnesses and members of the board of directors of the NATB.