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Accessibility Feedback Form
Customer Information:
Date of Visit
22-Feb-2012
What Services Were You Looking For?
Was Our Customer Service Provided to You in an Accessible Manner?
Select...
Yes
No
Somewhat
If You Selected either No or Somewhat, please explain?
Additional Comments:
Would You Like to Be Contacted?
Select...
Yes
No
First Name:
Last Name:
City:
Telephone #::
Email:
855 Confederation St. | Sarnia, ON | N7T 7L6 | P: (519) 337-8201 | F: (519) 332-3878 | emailus@bluewaterpower.com
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