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1.  How would you rate the following in terms of friendly and efficient service?
  Excellent Good Fair Poor
Sales Representative:
Technicians:
Service Reps:
Office Staff:
24-Hour Monitoring Operators:
Comments:
 
2. Please explain any unresolved problems:
 
3.  If any members of our staff have been especially helpful, please let us know who they are and how they were helpful so that we can show them our appreciation.
Name:
Position:
Comments:

4. Are you currently planning to:
Expand
Upgrade Existing Security System
Replace Existing Security System

5. Can you suggest someone who may be interested in our service?
Name: Phone:
Name: Phone:
Name: Phone:

SEi will gladly provide $50.00 of free Central Station monitoring for each referral resulting in the sale of a new security system or monitoring agreement.

Additional comments regarding SEi's services:

Do you need to be contacted by a SEi representative?
Yes
 
No

Account Name:
Your Name:
Address:
Premise Phone:
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