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Customer Complaint form (Service) 
We are sorry to hear you are experiencing a problem with our service. Please provide the following information regarding the issue you are facing so we can assist you better.

Thank you for bringing this matter to our attention. We value your feedback and will do our best to resolve the matter as quickly as possible. 
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Please state your name *
How would you like us to contact you? *
When did you utilise the service in question? *
How satisfied are you with the product you received? *
Dissatisfied
Extremely satisfied
What service are you dissatisfied with?
Clear selection
What specifically is the issue or complaint about the service?
When did the issue occur?
Did you speak with a representative about this issue?
Clear selection
If yes, who did you speak with?
How did the representative address the issue?
Was the issue resolved?
How would you like us to address the matter at this time?
Is there any additional information you would like to provide regarding your complaint?
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