Copyright Infringement Notification Form

To submit a copyright infringement notification, please complete the following required fields.

Your Information

* Copyright Owner Name (Company Name if applicable):
* Your Full ***** Name (Aliases, usernames or initials not accepted):
* Your Title or Job Position (What is your authority to ***** this complaint?):
* Phone:
Fax:
* Email Address:
* Street Address:

* City:
* State/Province:
ZIP/Postal Code:
* Country:

Video to be removed

* URL of allegedly infringing video to be removed:
* Describe the work allegedly infringed:
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* Retype the letters shown above:
Premium Multimedia Inc.
430 Rue Richelieu
Beloeil Quebec
Canada, J3G 4P3