JJ Maloney Co.--User Survey Form 2005
Name:
Email:
Browser Info:
Which Browser do you Prefer?
Netscape Navagator
Internet Explorer
If Other... Please note below (include version#)
Does everything Work?:
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No
If No, Please explain below
Recomendations?
Is there anything you would like added to this website or any changes you would recommend?
Info Request:
Are you interested in any of the following...
Sales Rep
Points List
Rate Disk
Insurance Cerf
If you would like any of the above mailed to you pleae provide your surface mail address and phone # below
Questions Comments or Sugestions:
Thank you for your time.
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