Member Satisfaction Survey

Because we care to hear how your transaction went, please take the time to fill out the survey below:

Name

 

Organization that referred you to Gold Star

 

City

 

State

 

Day Phone

 

Evening Phone

 

E-Mail

 

 

Product or Service Purchased 

Dealer/Company Name 

Were you satisfied with the service you received, and why or why not?

 

May we have permission to use your first name/last initial, organization, city, state and comments on our web site?

Yes      No

 

or