How was your shipment?
 Exceeded expectations  Met expectations  Did not meet expectations
If unsatisfactory, please explain why:

Was this shipment delivered when promised?
 Yes  No
If not, when was it promised? When was it delivered?:

By what method did you receive your shipment?
 Summit Truck  UPS  Truck Line  Priority Air  Delivery Service
 Other 

Were the quantities correct?
 Yes  No
If not, please explain:

Was the paperwork clear?
 Yes  No
If not, please explain:

How could we improve our service to you on future orders?

What is your position?
 Receiving  Installer  End User  Purchasing 
Other 

Which Summit Service Center do you do business with?
Select One Albuquerque, NM Austin, TX Beaumont, TX Broussard, LA Clute, TX Corpus Christi, TX Dallas, TX El Paso, TX Global Export Division Farmington, NM Fort Worth, TX Gonzales, LA New Orleans, LA Houston, TX Jacksonville, FL Killeen, TX La Porte, TX Orlando, FL Phoenix, AZ San Antonio, TX Santa Fe, NM

Name and Title:
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Company:

Phone:
 (Please include area code)

 Check if you would like to be contacted by Summit's Management Team

If you would like to discuss an issue in greater detail, please call the Manager of your local Summit Service Center or leave a detailed message for Summit's President, Victor R. Jury, Jr., on Summit's Express Line at 1-800-TELL-US-0 (access code = SUM).

Thank you!