Advantage


	Advantage Complaint Collection Form Please gather as much data as possible from the caller. This information is necessary so that the appropriate personnel may return their call. Thank you for your assistance! NEW: If guest would like to take their survey over the phone please follow this link to assist them!! <They are automatically entered into the prize drawing upon completion of the survey>
	Name* First Name Last Name
	Primary Contact Number* Enter in format: (###) ###-####
	Secondary Contact Number
	Customer E-mail
	Jiffy Lube Store Number Visited* *If the customer does not know the Service Center number they visited you can look it up for them at: Jiffy Lube Locations*
	Date and Time of Service* Month Day Year Hour Minute : AM/PM
	Jiffy Lube Invoice Number
	Vehicle License Plate Number
	License Plate State
	Comments

Advantage Complaint Collection Form