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FEEDBACK

We can only improve if we know how we are doing. Please use this form to comment on our products, web site or request a quote. You can also E-Mail us. We will never share any information you provide on this form. *Represents required information.

*Name
Contact Title
*Corporate/Company Name
*Email Address
Address
*City & State
Zip Code
Telephone
Fax
Location Breakdown:
Total Locations Corporate Retail Outlets Owner/Operator Outlets
Web Site
Type of feedback	Web site feedback
	Request a quotation
	Other
Will you be ordering?	Yes No
What affected your decision to buy or not to buy?	Price Look of sign
	Didn't have what I wanted
	Don't trust buying on-line
	Other
If other, please explain
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We invite you to provide additional information that would be helpful to our Sales Staff to better service your needs!
What type of products are you interested in?(check all that apply)	Outdoor Signs Menuboards Indoor Neons Scoreboards Other
If other, please explain
Typical Purchase Quantity?	1/Time Low Qty (under 20) High Qty
Estimated Annual Expenditure
Current Suppliers:
How did you learn of Everbrite?	Tradeshow Word of Mouth Publication Internet Other
If other, please explain
Feedback Comments
Top	Yes, Include me on your mailing list

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