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Last NamelastName

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E-Mailemail

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Postal Codezip

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TelephonedayPhone1

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ServicedepartmentName

Select one Sales .departmentName

Are you satisfied with our services?satisfied

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. Attitude of the Staff .attitudeofYourContacts

. Wait Time .timeManagement

. Prices .invoiceAmount

. Explanation of the Service .explanationofProvision

. Delivery Time .delivery

. Other .autres

. Quality of Service .qualityofService

. Explanation of the Bill .explanationoftheBill

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