Curb Adapter Feedback Form
Please provide your feedback to help us improve our curb adapter products and services.
Your Name
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First Name
Last Name
Email Address
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example@example.com
Curb Adapter Model or Serial Number
*
Where was the curb adapter installed? (e.g., building name, address, or project site)
Date of Installation
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Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How satisfied are you with the curb adapter's performance?
*
1
2
3
4
5
What went well with the curb adapter?
What issues or challenges did you encounter?
Do you have any suggestions for improvement or additional comments?
Upload any relevant photos or documentation (optional)
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