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Customer

Referral Form


Customer Survey

PDF for Faxing

Are you juicing?

YES

NO

If Yes, which machine do you use?

 

What type of Drinking Water you use?

Bottled

 

Filtered

 

Tap

Does any of your family member have air born allergies?

YES

NO

What type of cookware do you use?

Stainless Steal

Cast Iron

Aluminum

What kind of Knife Set do you use?

YES

NO

Do you Grill?

YES

NO

If YES, What kind of Grill you have?

 

 

Which Appliance is needed most in your home?

 

Cookware

Knives

Water Filter

Flatware

Air Filter

Juicer

Grill

Other

What makes you interested to have IPEC Food Service?

 

Quality

Guarantee

Convenience

Other

What did you like most about Quality?

 

All Natural Beef

Organic Free Range Chicken

Portion Control

Bi Vacuum Seal

What did you like most about the convenience?

 

Shop at Home

Easy/Convenient Monthly Payment plan

Pack your Freezer

How would you rate our guarantee?

Excellent

Good

Fair

How would you rate my presentation?

 

Excellent

Good

Fair

Can we use your name for reference?

 

YES

NO

Customer Name

Address

Sales Representative

Phone

 


IPEC Foods LLC

North Arlington, NJ 07031

201-246-0800