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Customer Concern Form
To ensure South Michigan Food Bank's partners' safety and satisfaction are met to the highest standards
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* Indicates required question
Complaint Date
*
MM
/
DD
/
YYYY
Name
*
Your answer
Agency Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Subject of concern
*
Food Safety
Quality
Invoice over or short
Service
Other:
Description of Concern
*
Your answer
Customer Request
Your answer
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