Customer Feedback Form
INSULECTRO cares about its Customers and the quality of our products and services.

Please tell us any comments, questions or concerns about INSULECTRO by using this form. We will address your issues quickly and effectively, usually by the next business day.

If your issue requires immediate attention, we also suggest that you contact your Sales Representative.
Customer Information
Company Name
First name Last name Title
Work Phone Mobile Phone E-mail
About Your Order
Certificates / Shipping Documents Customer Service Quality Lead Time / Stock Availability
Missed Promise Date Product Quality Technical Support
General Suggestion
Other:
INSULECTRO Order # INSULECTRO Item # INSULECTRO Lot #/Batch #
Your Comments
Description of the situation. Be as detailed as possible
What do you feel would be a fair resolution to the situation that occurred?



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