Aoda Customer Feedback Form - Pwd Demonstrations Page 2

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Please provide us with your contact information below (optional):
(Any personal information is collected pursuant to Ontario Regulation 429/07, the Accessible Standards
for Customer Service and will be used strictly for the purpose of responding to your feedback)
Full Name:
_______________________________________________________________________________________________
Address:
_______________________________________________________________________________________________
Phone #:
_______________________________________________________________________________________________
Email:
_______________________________________________________________________________________________
Would you like to be contacted by the Human Resources Manager at PWD?
Yes ☐ No ☐
(Feedback requests will be completed within 5 business days of receiving feedback)
If yes, please ensure you complete the contact information above.
How would you like to be contacted?
Telephone ☐
Email ☐
Mail ☐
Thank you for your feedback.
Email:
Phone: 905-816-2917
Fax:
905-816-2907
Mail :
2240 Argentia Road, Unit 102, Mississauga, ON L5N 2X6 - Attention : Human Resources
Yes ☐ No ☐
if yes, please explain:
___________________________________________________________________________________
___________________________________________________________________________________

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