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PLAYER MEMO

Do you wish to keep your identity confidential? *

No

Yes

Please be aware that if you keep your identity confidential, this potentially limits our ability to properly investigate the matter.

Filer Name *

Are you an ACBL member? *

Yes

No

Filer ACBL member # *

Are you reporting an incident that occurred during an online event? *

Yes

No

Filer online name *

Filer email address *

Subject(s) that you are reporting

How many subjects are you reporting regarding this incident *

1

2

First subject's online name *

Do you know the 1st subject's real name? *

Yes

No

First subject's real name *

First subject's ACBL # (if known)

Second subject's online name *

Do you know the 2nd subject's real name? *

Yes

No

Second subject's real name *

Second subject's ACBL # (if known)

Game or tournament information

Where did the incident occur? *

Face-to-Face ACBL Game

Online ACBL Game

Face-to-Face Event *

Online Event *

What time was the game?

Provide the time zone

BBO Game # (or identity of other online game) *

Board #

What date was the game played? * +

Describe the problem *

Provide a links to hand records

Was the Director involved? *

Yes

No

When did the Director get involved (after the hand, during the hand, etc.)? *

What is the Director's online name?

What is the Director's real name?

Your partner's online name *

Your partner's real name

Your partner's email address (if known)

CONFIRMATION OF RECEIPT

PLEASE LOOK FOR THE CONFIRMATION PAGE THAT APPEARS AFTER YOU CLICK SUBMIT.