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Name: form_21314765821148 — POST https://submit.jotform.us/submit/21314765821148/

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      <li class="form-line" data-type="control_image" id="id_12">
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          <a href="http://www.newtechpackaging.com" target="_blank" rel="nofollow" data-component="link"><img alt="" class="form-image" style="border:0" src="http://www.newtechpackaging.com/wp-content/uploads/2011/11/New-Tech-Logo.jpg" height="94px" width="224px" data-component="image"></a>
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            <h2 id="header_1" class="form-header" data-component="header"> HELP US IMPROVE </h2>
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                  <label id="label_17_col_0"> Strongly Disagree </label>
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      <li class="form-line" data-type="control_textbox" id="id_13">
        <label class="form-label form-label-top form-label-auto" id="label_13" for="input_13"> Name: </label>
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        <label class="form-label form-label-top form-label-auto" id="label_11" for="input_11"> Company Name: <span class="form-required"> * </span>
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Text Content

 * 


 * HELP US IMPROVE
   
   Please take two minutes and evaluate how we are serving you -- thank you.
 * Customer Support
   
     Strongly Disagree Disagree Agree Strongly Agree How do you rate New-Tech's
   service level - responsiveness, on time deliveries,communication? How do you
   rate the friendliness of New-Tech's personnel - delivery drivers, customer
   service rep, account manager? How do you rate New-Tech's responsiveness and
   resolution to your complaints? How do you rate the quality and performance of
   New-Tech's products? How do you rank your overall satisfaction with New-Tech
   Packaging?

 * Name:
   
 * Company Name: *
   
 * Additional Thoughts or Comments:
   
 * If you need New-Tech to contact you, please check the box below and enter
   your phone number and/or email.
   I need some help - please call me
 * Phone Number:
    - Area Code Phone Number
 * E-mail:
   
 * Submit Survey
 * Should be Empty: