Customer Feedback Form

Dear Customer,

We truly value our association with you and would request you give your feedback about your favorite magazine to us .Your response will help us improve and provide better services to our valued customers.

Name: *
Your Email Address: *
Preferred magazine: *
1) What is the one thing that you would never change about the magazine? *
2) What type of stories should the next issue have? *
Type the characters you see in this image:
Type Characters: *
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