Your Customer Comments are Appreciated!



*First Name:
*Last Name:
*Home Phone #
Cell Phone #
*Mailing Address
*City
*Zip
*Email:
   
We would love to hear about a good experience you had with our store to use in future advertisement!
   
*It was a pleasure working with
 
(note what they did to assist you better)
   
*I always enjoy shopping at Midway because
   
*Or, be ingenious, what do you really like (love?) about us?
   
*How long have you been shopping at Midway?
   
Thank you sooo much for taking the time to enter or drawing. We just need your signature to make sure it is ok to use your name & comments in our upcoming ads. Do not sign if you do not want us to use your name.
 
Sure i would be proud to see my name & comments in an upcoming ad
 
 
 
 Good Luck & Thank you for allowing us to Serve you!