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Please use this form to rate a area service provider you have worked with.

Or, you can click here to download a printable version to fill out and fax or mail to us.

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Red Fields are required.


I. Information on Service Provider

(If Service Provider is already listed in the Franklin Report, then you need to only input required fields in Section I.)
Company Name:
Company Address:
City:
State: Zip
Company Phone: ( ex. 212 -123-4567)
Primary Service Provided:  
Main Contact:

II. Description of Project

Your email address
(If no email, your name, please):
Your Phone Number
(For editorial clarification only)
Project Description:

III. Evaluation of Service Provider

Work Quality:
Cost Evalution:
Value Analysis:
Client Recommendation:

IV. Comments: Pithy and Witty as Possible.

Please comment on the service provider's mannerisms, skills, creativity, personality, tidiness, timeliness, monetary/contract issues, or any other helpful information:
By Company or Main Contact Name:
By Service Category:
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