Customer Feedback Form

1919 Green Road, Ann Arbor, MI 48109-2594 (734) 764-6230

Customer Feedback Form:
If you would like to share any comments or concerns regarding our products and services, please fill out our on-line Customer Feedback Form below.

Type of feedback		Compliment Suggestion/Request Complaint
Which unit are you commenting on?

Name(s) of staff member helping you (if known)
Project/job number (if available)
Email Address (required)
Please describe your compliment, suggestion/request, or complaint
The following information is necessary if you would like to receive a response
Last Name
First Name
School, College, Department, Group, or Organization
Street Address
Building
Campus Zip
Phone Number

Would you like a response to your feedback? Yes No
How would you like to be contacted? mail phone email

Thank you for your feedback!