FEEDBACK FORM We would like the opportunity to resolve your complaint. Please complete the form below to help us understand what the problem is and how you would like to resolve it. 1. Your details Full name(s): Full name(s): Address: Post Code: What is the best way to □ Phone Daytime number: contact you? Mobile: □ Email Email: When is the best time(s) to contact you? Your Complaint When did it occur? Who was involved? Please state what happened? (Please provide us with any additional information or copies of documents you think are relevant) How would you like the matter to be resolved? Signature: Date: Name Signature: Date: Name (if more than one person is our client)
FEEDBACK FORM We would like the opportunity to resolve your complaint. Please complete the form below to help us understand what the problem is and how you would like to resolve it. 1. Your details Full name(s): Full name(s): Address: Post Code: What is the best way to contact you? Phone □ Daytime number: Mobile: Email □ Email: When is the best time(s) to contact you? Your Complaint When did it occur? Who was involved? Please state what happened? (Please provide us with any additional information or copies of documents you think are relevant) How would you like the matter to be resolved? Signature: Date: Name Signature: Date: Name (if more than one person is our client)
Feedback%20form%20BMS%20PL%20NZ%20-%20110618.docx