Customer Feedback Form
Location: LATAM
Subject
*
:
Company Name
*
:
Agency Name
:
Contact Name
*
:
Department
:
Primary Phone
*
:
E-Mail
*
:
Adress
*
:
Terminal
*
:
Select Value
Puerto Bolivar
Service
*
:
Select Value
Bulk Banana
Bulk Cargo
Container
General Cargo
Other
Message Type
*
:
Select Value
Request
Suggestion
Complaint
Appreciation
Cause of Complaint
*
:
Select Value
Anti-narcotics Inspection Services
Bulk Banana Vessel Operations
Bulk Banana Yard/Platform Services
Container Empty Depot
Container Vessel Operation
Container Yard Operations / CFS
Discharging
Loading
VGM
Trucking
Seal
Label
Maintenance
Security
Container Transshipment
Storage
Price
Stuffing
Stripping
Inspection
Weighing
X-Ray
PTI
Late delivery of container
Late lay of container
Gate Operations
Gate-Out confirmation delay
Failure in Equipment
Lashing
Warehouse
Invoice
Technical Support
Damage
Berthing
Return Invoice
Others
Priority
*
:
Select Value
Urgent
Normal
Low
Date of Issue
*
:
(yyyy-mm-dd)
Description
*
: