Prize Draw Form

PRIZE DRAW ENTRY - Customer Quality Assurance/ Feedback Form

Dear Customer,

Mr FixIt 4u Ltd is committed to quality and delivering what Customers want. This form should be given to you, by our Associate, on completion of work or support. This form will also be available online at our website: http://www.mr-fixit-4u.com/prize_draw_form.htm. Please respond by whichever method you choose, our address is below.

Returning this Form by post or online automatically enters you for a FREE PRIZE DRAW which can reward you with up to £1,000. Please contact us at prizedraw@mr-fixit-4u.com for a copy of our terms and conditions.

Note: We don’t share your personal or contact details with anyone for any reason so we hope you will respond.

Associate Name or Area*

Date Work Completed*

Please Note: To be entered for the PRIZE DRAW you must complete all items marked wit a star *

Job No* (Associate should have this)

Your Name*

Your Address*

Tel. No*(s)

Your Email Address:

How did you find us? E.g. Flyer:

Our Service

Excellent

Very Good

Good

Fair

Poor

Response Time*

Associate’s Knowledge/Experience*

Parts/ Equipment Supply

Information Provided

Overall Service Level*

Did You Receive Leaflets and Business Card*

Yes

Would You Recommend us to Your Friends/ Relatives*

Total Cost*

Any Other Information Comment Please:

We thank you for your Custom, Response and wish you success.

Please send to: Prize Draw Admin, Mr FixIt 4u Ltd, 74 Crombie Road, Sidcup, Kent. DA15 8AU