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Biotouch Multiple Scan Report
Report multiple QR code scan results with this form. Multiple scans may be an indication that you have a counterfeit product.
For more information about counterfeits, check https://sites.google.com/biotouch.com/biotouchwiki/home/counterfeit-warning
* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
Did the scan report as suspicious on your first scan?
*
Yes
No
Which country do you reside in?
*
Your answer
What is the closest major city to your location?
*
Your answer
What is your phone number? (optional)
Your answer
Which company or person did you buy the product from?
*
Your answer
What is the company's contact information?
Please list phone numbers, email addresses, and websites if applicable.
Your answer
Do you see a number on the QR code sticker? If so, please enter it below.
Your answer
Send me a copy of my responses.
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