Seal And Coat (sm) - Client Feedback and Testimonial Form

Seal And Coat - Client Feedback and Testimonial Form

We love to hear your opinions and about your experience with Seal And Coat!

Please use this form to submit a testimonial or give us feedback. You may choose to remain anonymous and you may choose weather you want your information published or used in our marketing materials. Please scroll down to the bottom of the page see examples of how your testimonial will look.

Client Feedback and Testimonial Form

May we publish your testimonial on our website or use it in marketing materials for our company?

Can we use and/or publish your testimonial or feedback?

Company Name and Website URL
(Leave this section blank if this is not applicable to you.

Company Name:

Website URL:

Your Name (Required)
Example: Mr. John Q. Public Jr. or John and Jane Public

*Name:

Would you like to remain anonymous?

City and State
For Example: Hartford, Connecticut

* City:

* State:

May we publish your location?

Contact Details (This information will not be published)
Please be sure to enter your name in the form above if you wish to be used as a reference.

Best Contact Phone Number:		Extension:
Email Address:

May we use you as a reference?

Your feedback or testimonial:

Please write your feedback or testimonial here:

By checking this box, I have read and understand and agree to the Seal And Coat Terms And Conditions and Privacy Policy.

After you have filled out the form above, please click the Submit button.
We will not receive your inquiry unless you click Submit and a confirmation page is displayed.

You may choose to have your feedback remain anonymous for exclusive internal use by Seal And Coat, or have your testimonial published. It may appear on our website and/or marketing materials in the following formats:

"Great Job" - John & Jane Doe
"Nice Job" - John & Jane Doe, Hartford, CT
"Quality Results" - Your Company, Inc
"Fantastic Quality" - John Doe, President, Your Company, Inc
"Beautiful product" - Anonymous, Hartford, CT
"A pleasure to work with" - Anonymous

As always, your information is for exclusive use by Seal And Coat and will not be sold, transferred or abused.
Please review our privacy policy for full details.

Email: info@sealandcoat.com / Phone: 860.874.8444