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County Fair Raffle
County Fair Raffle
Raffle Form
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Last
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Email
(Required)
Date
(Required)
Month
Day
Year
Are you a Bedford Regional Water Authority customer?
(Required)
Yes
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Are you satisfied with Bedford Regional Water Authority's customer service?
(Required)
Highly Satisfied
Satisfied
Neutral
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Highly Dissatisfied
Are you satisfied with Bedford Regional Water Authority's water services?
(Required)
Highly Satisfied
Satisfied
Neutral
Dissatisfied
Highly Dissatisfied
How likely are you to share a positive/negative Bedford Regional Water Authority experience with a friend?
(Required)
Very Likely
Likely
Neutral
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Very Unlikely
Do you have any suggestions that could help Bedford Regional Water Authority improve?
To participate in this raffle, you must be 18 or older.
(Required)
I am at least 18
I am under the age of 18
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