Customer Service Record Form
Name*
Phone No.*
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(Country Code)(Area Code)           (Phone No.)
Fax No.
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(Country Code)(Area Code)           (Fax No.)
Address
E-mail
Suggestion Type*
Area*




(Please fill in if you select Others)
Incurred Date (yyyy/mm/dd)
 Y  M  D
Incurred Time
a.m. p.m. h m
Route
Ferry
(Please fill in if you select Others)
Pier
Details
* mandatory