Thank you for taking the time to fill out this form. Nesda Technologies Ltd. is committed to improving accessibility to our customers with disabilities.


Alternatively, please feel free to download a printable version of the form below, and send it to us via fax @ 613 969-0470


Date and time of customer service provided:


Date


Time

Was our customer service provided to you in an accessible manner?

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Please note that all information provided regarding this form is explicitly confidential