Lodging a complaint

Complaint Details (Fields marked with a * are required.)
Your details
Forenames/Initials *  
Surname *  
ID/Passport No *  
Address *  
Postal code *  
Telephone No. *  -  
Fax No. *  -  
Email Address *  

Are you complaining in your personal capacity or on behalf of a company or organisation?
If you are complaining on behalf of a company/organisation click “yes” for further instructions.

Type of advertising
Type of advertisement (if other please specify)

* Please note that if the advertisement is print or package, we require you to send us a copy

Where and when you saw the advertising
* Please include details such as time and channel to enable us to source a television or radio commercial. For print advertisements, please supply a faxed copy to (011) 781-1616 clearly indicating what matter it relates to.
Where *  
When *  
* Please include details like channel, time or publication and page

Who is the advertiser and what product is advertised?

Your complaint
In the case of radio or television, please provide a brief description of the advertisement: *  
Please set out clearly the reasons as to why you find a particular advertisement objectionable: *  
Please note: The ASA does not deal with complaints about poor service or contracts between yourself and a supplier.

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