Customer Feedback Form Model:_______________
Asset:________________
Serial:__________________
Tech Name:_____________________ Tech #_______ Date Made Ready:_____________ -------------------------------------------------------------------------------------------------------------------------Dear Valued Customer: Coca-Cola Enterprises Inc. is dedicated to providing the best equipment to our customers. We value your feedback in an effort to continue to bring you top quality equipment. We ask you to please help us by completing and returning this form. The equipment above meets or exceeds (insert company name) Quality Assurance Standards YES
NO
Equipment performed correctly when installed: YES
NO
Equipment has problems/issues within 30 days of install YES
(if yes please explain below) NO
Date Installed:____________________ Comments: ___________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________
Reported By: _____________________
Forward to
Company Name:___________________
San Antonio Supervisor
Company Address:_________________
Fax: or
Phone:____________________________
email:
Date:______________________________
Houston Street San Antonio, TX 78219