Customer Complaint Form
Thank you for using SquareMint Design. We sincerely apologize for any problems that you encountered during your visit. Please fill in the information below to help us understand what went wrong so that we can make things right.
First Name
Last Name
Address 1
Address 2
City
State
Postal Code
Phone
Email Address
Date of Incident (MM/DD/YYYY)
Please describe what happened. Be as detailed as possible and write as much as you would like.
What do you feel would be a fair resolution to the situation that occurred?
Indicates Response Required
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