Dahill Online Supply Ordering Feedback

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* 1. POC

FIRST NAME

LAST NAME

COMPANY NAME

EMAIL ADDRESS

Telephone

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* 2. Was the order form relatively easy to use

Yes

No

If NO please tell us why?

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* 3. Would you be interested in a free online account where you can request technical support, supply orders and customer care?

Yes

No

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* 4. What suggestions or comments do you have to improve your experience on our new web supply order form?