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* 1. On a scale from 1 to 10, how likely are you to recommend Premio to a friend or colleague?

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* 2. Did your Westburne's representative present the Premio program to you?

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* 3. Have you claimed a reward with your points since the beginning of the Premio program?

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* 4. Are the rewards offered on the Premio website varied and interesting?

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* 5. Do you have any reward suggestions?

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* 6. What aspect of the Premio program do you find most interesting?

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* 7. Please provide any additional feedback or comments.

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* 8. We need your contact information to offer you a 5000 bonus Premio points for your testimonial and your interest in our Premio program.

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* 9. By checking this box, I hereby consent and authorize Rexel Canada Electrical Inc. (“Rexel”) to use, publish or distribute, without compensation, my comments and/or testimonials as Rexel deems fit, for marketing purposes. Rexel may reasonably modify the comments and/or testimonials. I release and hold Rexel harmless from any and all claims it may have by reason of this permission.

Thank you for your time, we really appreciate your feedback.

If you have any questions or would like to register for the Premio program, please do not hesitate to contact your representative or register directly on www.premiowestburne.ca

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