Dribbble
 
 
Customer Feedback Form
 
 
Customer name: *
Customer Company Name:
Customer Account Number:
(Account number must contain exactly 7 numeric characters.)
Customer Reference Number:
How satisfied are you with the service provided by Afrox?:
What was the nature of your query?:
How likely are you to recommend Afrox to your friends and family?:
I acknowledge the recorded customer data will be used for internal purposes only to improve our customer experience.
 
 

* Note: The customer must be registered as an Afrox Eshop Account user. New customers to the eShop can register on www.afrox.co.za
 
 
 
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