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Your Satisfaction   YES   NO     Was the Associate/Driver courteous?       Were you offered help in unloading your donation?       Were you offered a receipt for your donation?                   How often do you shop at Goodwill?   *** First Time 1 Time 2 Times 3 Times 4 Times 5 Times 6+ Times   Per Month   How often do you donate to Goodwill? *** NEVER 1 Time 2 Times 3 Times 4 Times 5 Times 6+ Times   Per Month    Your Comments     Donation Location  Date & Time of Day of Donation   Location        Donation Location Here 1604 Goliad Austin Hwy Babcock Bander Landing Bandera @ 1604 Bank Of America Bitters Blanco Churchill Commerce Dezavala Distribution Center Eisenhauer FM 78 Forum Fredericksburg Rd. Garden Ridge Laredo Lockhill Selma Marbach New Braunfels Pleasanton Rector Salado Village Seguin South Park Summit Thousand Oaks None                            Month      Day         Year   Date Donation Made   ** 01 02 03 04 05 06 07 08 09 10 11 12   ** 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   **** 2007 2008 2009   Your Name                     Time of day Donation Made        *** Morning Afternoon Evening   Address           City      Phone    State Select State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY    Zip      E-mail

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