Class action lawsuit sign-up form
Register as a victim for multiple class action lawsuits against strip clubs in Poland
Email address *
Your details
Your full legal name *
Your contact phone number
Club details
A class action lawsuit needs to be filed for each individual club. When a sufficient number of complaints is received for each club, a lawsuit will be organized
The club you were at:
Club name:
Unlisted clubs
If the club you visited is not on the above list, please provide the following details so that we can begin to track the club.
Club city:
Club address:
Your club experience
We need you to provide as clear a recollection of the experience as you can. Multiple victim accounts serve as witnesses for each other and strengthen the class action lawsuits
What day did you enter the club?
MM
/
DD
/
YYYY
What time did you enter the club?
Time
:
What day did you leave the club?
MM
/
DD
/
YYYY
What time did you leave the club?
Time
:
Do you believe you were drugged at the club?
Clear selection
If you feel that you were drugged at the club, how do you think you were drugged?
Was violence used against you by staff at the club? If so, please describe it.
In your own words, as clearly as you can, please provide a description of what happened to you during your time at the club
Do you give permission for your experience description above to be posted on http://www.polishclubscams.org and in other media? Only your first name will be used.
Clear selection
Card payment
How much money was stolen from you? Note: please also specify currency e.g. EUR, USD or PLN
Did you pay by credit or debit card?
Clear selection
Which company supplied your card?
Clear selection
What is the name and country of your bank? (we will link members who have the same banks together so we can start to hold banks to account)
Has your bank refunded your money?
Clear selection
If your bank has not refunded your money, what reason was provided for your money not being refunded?
Your remedial action so far
Did you file a complaint with the police?
Clear selection
Which country did you file your complaint in?
If you did not or were not successful in filing a complaint with the local police, why weren't you successful?
As part of the class action process, you will need to testify before authorities in your home country or Poland. Are you prepared to testify to authorities?
Clear selection
Is there any other action you have taken so far against the club that would be helpful for us to be aware of?
I would like to pay $20 EUR to have my testimonial and police response translated by a professional certified translator into Polish so that it can be included in Polish media
Clear selection
Is there anything else you would like to let us know about?
A copy of your responses will be emailed to the address you provided.
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