Lightning Jacks Feedback Form

Customer Information
and
Feedback Form

Tell us what you think or anything else that comes to mind.
We welcome all of your comments and suggestions.

CUSTOMER INFORMATION

Name
Street
City
State
Zip
E-mail
Tel
FAX
Birthday

  Have you ever been to Lightning Jacks?

Yes     No

  Do you like visiting Lightning Jacks?

Yes   No 

  What kind of comment would you like to send?

Question Complaint Problem Suggestion Praise

  What about us do you want to comment on?

Other:

  Enter your comments in the space provided below:

Please contact me as soon as possible regarding this matter.

(Please only click on "Submit Comments" once. Allow a few seconds for processing)
    


HOME Hungry?? Live Entertainment Events and Specials Directions Contact Lightning Jacks
Revised: January 08, 2008.

Website designed
and maintained by:

Will's Web Design

Webpages - Copyright © 1999-2003  Lightning Jacks - All Rights Reserved