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Online Suggestion Feedback Form
Please fill the form below
Name:
First Name
Last Name
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Mobile No:
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Invalid phone number.
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Email Id:
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Please enter valid email address
Please tick the boxes to show what this form is about:
This is a Compliment
This is a Suggestion for improvement
This is Feedback
This is Confidential
This is an Enquiry
This has been raised before
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Business Name:
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Details – Details of your compliment, suggested improvement or feedback:
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Suggested improvement action or solution:
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Do you wish to receive a response on the progress:
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Signature:
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