FeedBack Form


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Tell us what you think about Our WebSite, Our Service(s), Our Organization, or anything else that comes to mind.  We welcome all of your comments and suggestions.  And Please, keep it clean.

Also, use the Translation Application below the form to copy and paste in your information and/or comment back into the form.  You will leave this for the translation...just copy the info then click the back button to return to filled out form again, and after completing it click submit.

What kind/type of comment would you like to send?

Praise  Suggestion  Comment  Complaint  Problem

What is comment?

  Other:

Enter your comments in the space provided below:

Tell us how to contact you:

Full Name:
eMail Address:
Telephone:
Fax:
Please contact me as soon as possible regarding this matter.

* Please Note:  If clicking on the "Submit Comments" button causes an error message to display ...
                        Please eMail us from the link below & ignore the error page, the information sends to us...Many Thanks!


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Copyright © 2003-2007 CLP, Inc. Systems.  All rights reserved.
                        Randall C. Phillips

Page Last Edited:  Sunday, January 21, 2007 04:13:14 PM -0700