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Service Completion Confirmation and Feedback

1. What was your primary issue?

2. Was the issue resolved up to your satisfaction?

YesNo

3. How would you rate our technician(s) on the scale of 1 to 5 (5 being the highest)?

12345

4. Did the agent tell you the charge on your card statement would show in the name of Vortex Solutions Ltd. ?

YesNo

6. Additional Feedback:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Signed by James Martin
Signed On: June 19, 2019

Timestamp

Audit

September 21, 2018 4:39 pm EDT

Service Completion Confirmation and Feedback Uploaded by James Martin - billing@qbproadvisorservices.com IP 203.193.159.93