Comment Card
We value what our customers have to say. Please take a moment to fill out this comment card and receive a discount on your next meal. We appreciate your time and business!
(* Required Fields) Name * Date Address * City * State * Zip * Email Phone Permission to send future information about specials and promotions Location Visited: Select Normal Bloomington * How often do you visit or receive delivery or carry out? Select 1-3 times per month 4-6 times per month 7+ times per month Are you a first time customer? Select Yes No What did you order today? Type of Service Select Dine-In Carry Out Delivery Catering Where have you seen our advertising recently? TV Yellow Pages Radio Newspaper Web/Internet Comments
(* Required Fields)
Name * Date
Address *
City * State * Zip *
Email Phone
Permission to send future information about specials and promotions
Location Visited: Select Normal Bloomington *
How often do you visit or receive delivery or carry out? Select 1-3 times per month 4-6 times per month 7+ times per month
Are you a first time customer? Select Yes No
What did you order today?
Type of Service Select Dine-In Carry Out Delivery Catering
Comments
