Ubisoft, Inc. (“Ubisoft”) is committed to resolving its customers’ disputes in a fair and efficient manner. If you are unsatisfied with the resolution that a customer service representative offers for a problem that you are experiencing, you may notify us of your dispute by sending this form to Ubisoft’s legal department.
Please complete this form in its entirety (printing legibly). Retain a copy for your records and send the completed form by certified U.S. mail to:. Ubisoft, 625 3rd Street, San Francisco, CA 94107, USA
Name of consumer: _____________________________________
Phone number: _____________________________________
Additional number at which you may be reached during business hours: _____________________________
Your email address: ______________________________________
Your fax number: ______________________________________
Your billing address: ______________________________________
If you are an authorized representative of the customer who is experiencing a problem, please print your name, your relationship to the customer, your address, and a phone number at which you may best be reached during business hours:
Your name: _________________________________________________
Relationship to customer: ________________________________________________
Your address: ________________________________________________
Your phone number: ________________________________________________
Please briefly describe the nature of your dispute and attach any supporting documents that you wish. If necessary, please use the reverse side.
Please briefly describe the relief that you would like from Ubisoft.
Date: _____________________ Signature: ___________________________