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Feedback Designer Demo Page
Below is a working demo of the Feedback Designer. Please tic the "Send Copy" option to receive a copy of the email that will be sent to us when you submit the form.
 
We have created a demo flash presentation on configuring the module here.
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Exmaple DotNetNuke Module Form
This is some intro text that can be included on any form. The text is created in a text editor in DNN and can have any html text or images.
 
Interactivewebs.com.au Australia... 
 
Below is an example of a form used in a real business case.
 
 
 
 
This is a Request For

 
Your Name  
Your Email  
Main Phone Number  
Mobile Phone Number  
Service Call Address  
Property Type
 
Site Contact/Access Time  
Site Contact  
Access Time  
 
Company Name  
Billing Address  
Categories  
Client Services  
Facilities Maintenance and Construction Services  
Preventative & Programmed Maintenance Services  
Training and Emergency Response Procedures  
Asbestos Services  
Client's Request of Priority Status






 
Comments / Notes Regading The Type of Service to be Conducted or the Enquiry that you have Requested Further Information About  
Please Note: By Submitting this Request you are consenting to being Contacted by a Sales Consultant.  
Demo Data  
File Upload  
 
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