Customers Contact/Comments Form

Your contact information and/or comments are valuable to us. Please use this form for that.
Note: items marked with an asterisk * are required)




*Last Name :

*First Name :

*Middle Initial :

*Phone Number :

*Email :

Business Name :
(if applicable)


*Comments, Feedback or Description of Issue :
Are there any other comments with respect to the following areas that may help us to better serve you?
(1 – poor / 5 - excellent)
(Optional)

1. Communication:

2. Quality of Work:

3. Behavior of Technician:

4. Satisfaction with Work:



We appreciate your time and your feedback.

Capstone Computer Services Corporation is committed to protecting the privacy and security of your personal information obtained by this customer comments form. The personal information above will only be used for the purpose of contacting you so we may properly respond to your comments.