Notes:
Personal information you send through this form will be used only for the purpose of responding to and managing your report as well as for the purpose of contacting you.
If report is determined as illegitimate or any false or inaccurate information is found, we are unable to respond to such report. In such cases we will not contact you.
We may disclose information you send through this form if a person who is reported by you requests for disclosure of information of related report. ( If a reporting person (you) is an individual, we will contact you before such disclosure.)
佐藤boone学＠四谷アウトブレイク店長
@boone4649
Live #477275423
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