Guarantee Registration Card
& Customer Satisfaction Survey
Dear Customer
We hope our product suits all your requirements; it would help us immensely if you could find the time to
fill in this form, your response will help us maintain the quality standards we all expect in today’s climate.
Customer name ________________________________________
Date_____/_____/__________
Email Address ____________________________@________________________________________
Product Name ______________________________________________________________________
Tick as appropriate
V Good
Good Fair
Poor
Product
Delivery
Sales & Ordering
Response to
any problems
Comments
…………………………………………………………………………………………………
………………………………………………………………………………………………..
………………………………………………………………………………………………..
Thank you for your time to fill in this survey, the response will help us to serve your
needs more effectively. Please return by fax to 01245324422.
Quality Control Manager: Ron Brown [email protected]
User Details
User Name Mr/Mrs/Miss/Ms/Other ……………………………………………………………………………
Initials …………………. Surname ………………………………………………………………………………
Address ………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………
…………………………………………………………………… Post Code: …………………………………
Telephone: ……………………………………………………………………………………………………………..
Product & Model installed (e.g. Space Saver SS5)
……………………………………………………………………………………………………………………………….
Room Installed (e.g. Kitchen): …………………………………………………………………………………..
Your details will only be held by Smiths Environmental Products Ltd and used solely to
provide customer services and product information.
If you do not wish to be contacted, please put an x in the box.
Installer Details
Company name: …………………..
Principal contact: Mr/Mrs/Miss/Ms/Other: …………………………………………………………………
Initials: ………………… Surname: ……………………………………………………………………………
Address: …………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
…………………………………………………………………… Post Code: ……………………………………
Telephone: …………………………………………………………………………………………………………….
Date of installation ……………/……………/………………
Room Installed (e.g. Kitchen): …………………………………………………………………………………..
Your details will only be held by Smiths Environmental Products Ltd and used solely to
provide customer services and product information.
If you do not wish to be contacted, please put an x in the box.
