Online Customer Compliment Form

* Mandatory Field

Customer Compliment Form
Name of person making compliment*
Postal address*
Contact number/s*
Email

Compliment Details

Department compliment refers to (if relevant)
Staff member/s (if relevant)
What is the nature of the compliment*
Summary of the compliment*

Witness Details (if applicable)

Name
Address / Day time contact number
If you see this, leave this form field blank.
This is a printer friendly version of the following web page:-
http://www.portaugusta.sa.gov.au/page.aspx?u=1201