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In order to better serve you in the future, we would greatly appreciate it if you would complete our quick questionnaire.

Name: Office:
E-Mail: Phone:
1) On a scale of 1 to 10 (10 being the highest) how satisfied are you with the following aspects of your referral ad?

2) Will you continue to advertise in the directory? Yes No
3) Comments / Testimonial:

4) Would you authorize Colour Tech to use your referral ad, photo and above testimonial on any of our promotional pieces? Yes No
5) Please check off any of our other products that you may be interested in.

Business Cards Letterhead Labels Postcards
Magnets Marketing Support Materials

Submission Deadline: October 31, 2008