Seafarer Uniforms - Ordering and Feedback Form

Seafarer Uniform Trousers and Workshirts

Uniform Store Managers and/or Authorized Personnel
(Sailors please use our other form)

Submit this form to report product or service concerns or to order support materials. Thanks for your participation.

Name:

Store ID:

Address:

City, State, Zip:

Phone:

Fax:

E-Mail:

1. Please indicate Seafarer items by style and size which have been NIS for 72 hours or longer.

Item

Size

2. Please indicate date and time of last Seafarer vendor representative contact.
Month Day Year Time AM/PM

3. Please indicate receipt of any defective Seafarer itmes by quantity, item, style, size and date.

Quantity	Item	Style	Size	Date

4. Please provide any comments or suggestions which may benefit servicing of Seafarer products.

5. Please order Seafarer support materials below:
Seafarer poster - Quantity
Seafarer brochure - Quantity
Shirt poly bags style/size - Quantity
Seafarer trouser leg size strips - Quantity
Seafarer gift certificates - Quantity
Seafarer bumper stickers - Quantity

Would you like a customer service representative to contact you? Yes No