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BADAC FEEDBACK FORM

Pangalan (Kung nais): ____________________________ Petsa: ______________________________


Address: ______________________________________ Telepono/Cellphone: __________________
Edad: [ ] 18 pataas [ ] 17 pababa Kasarian: [ ] Lalaki [ ] Babae

Tanong/komento/suhestiyon/reklamo:

BADAC FEEDBACK FORM

Pangalan (Kung nais): ____________________________ Petsa: ______________________________


Address: ______________________________________ Telepono/Cellphone: __________________
Edad: [ ] 18 pataas [ ] 17 pababa Kasarian: [ ] Lalaki [ ] Babae

Tanong/komento/suhestiyon/reklamo:

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