Counterfeit Finding | MacuHealth

Report Counterfeit Product

If you have purchased counterfeit MacuHealth product, or have seen counterfeit product online, we would like your assistance.

Product Information
Product*
Date of Purchase
MM slash DD slash YYYY
Online Counterfeit Finding
Shopping Platform
eBay
Name of Seller
eBay Seller Name
Auction Number
Auction Website
Seller's Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Seller's Email Address
Amazon
Name of Seller
Other
Name of Store or Website
Address or Link to product
Your Contact Information
Name
Telephone Number
Email Address
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional Comments
Anything else your like to share?
Attach Receipt
Accepted file types: jpg, png, pdf, Max. file size: 512 MB.
Name
This field is for validation purposes and should be left unchanged.