DOMINION MESSENGER
Box 1544
Edmonton, Alberta
Canada  T5J 2P3
CUSTOMER COMPLAINT AND STATUS FORM
Date:  (mm-dd-yyyy)
Customer Name: 
Your Name and Company affiliation: 
Service Level:  REGULAR RUSH
 POINT TO POINT DIRECT
 OTHER

Nature of Complaint:  MISSED DELIVERY LATE DELIVERY
 MISSED PICK UP LATE PICK UP
 OTHER

Please Explain: 

Contactor Name and Number: 
What was the call in time: 
When was the call dispatched: 
What was the delivery time: 
Who handled the compaint or status call: 
What was the end result: 
Who is being charged for this delivery?  CONTRACTOR DOMINION
 CUSTOMER

LAYOUT & DESIGN BY RACKNINE
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