Exceptional Customer Experience Submission

1
Submission Date* This field is required.
Date
Year
Month
Day
2
Team Member Name* This field is required.If you don't know the Team Member's surname, enter 'Unknown' in the Last Name field.
First Name
Last Name
3
Your Name* This field is required.Your name will be kept confidential and will be shared only with our selection committee. We will never publicize your name or story without your prior permission.
First Name
Last Name
4
Your EmailYour email address will be kept confidential. We will only use it to communicate with you regarding your submission.
example@example.com
5
Your Phone Number* This field is required.Your phone number will be kept confidential. We will only use it to communicate with your regarding your submission.
Please enter a valid phone number.
6
Location* This field is required.Select one
Marketplace Food Store
Marketplace Gas Bar
Ross Park Gas Bar
South Hill Gas Bar
Agro Centre
Prairie Plains
Hillcrest Pharmacy
Avonlea Store
Avonlea Crop Supplies
Liberty Store
7
Please describe your exceptional customer service experience.* This field is required.NOTE: This award is to recognize actions that go ABOVE AND BEYOND our already high level of customer service in some way. Please tell us your story. Maximum 350 words. Your name and story will be shared confidentially with our ExAward selection committee. If we want to publicize your story, we will reach out to you to ask your permission first.
0/350
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: