Feedback

Full name *

Contact information and preferred method of communication *

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Your address

The essence of the appeal: *

What event / information caused the appeal? Your opinion. What happened? Where did this happen? Who did this happen to? What is the result?

Date the event occurred

Happened more than once (how many times?)

Continues (the situation exists at the moment)

How would you like to see a solution to your appeal? *