Thank you for being a guest of Fantastics Sams! Please let us know how we may better serve you by completing this survey. Receive A Special Instant Printable Coupon for your submission! * = required Name * Address City State    ZIP  Phone Fax e-mail * Location Select a location... Alden Amherst Arcade Blasdell Buffalo -----CHEEKTOWAGA----- Union Losson Plaza Valu Plaza Walden Avenue -----DEPEW----- Frenchview Plaza Valu Plaza Derby East Aurora Elma Hamburg Lockport North Tonawanda Orchard Park Tonawanda -----WILLIAMSVILLE----- Dash's Market Plaza Lowe's Plaza -----ROCHESTER AREA----- Rochester Brockport -----SYRACUSE AREA----- Cicero * Date of Visit (00/00/00) Time? AM PM Is this your 1st, 2nd, 3rd or More Visit? 1st 2nd 3rd More Please Rate Us On The Following: (circle which number applies) Excellent Good Fair Poor Quality * 4 3 2 1 Convenience * 4 3 2 1 Pricing * 4 3 2 1 Cleanliness * 4 3 2 1 Service * 4 3 2 1 Greeting * 4 3 2 1 Hours Open * 4 3 2 1 What ONE thing can we do better? Additional Comments / Suggestions?

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