Burgerville Feedback Form

Location Visited Choose: (Not Applicable) 122nd & Stark 162nd & Division 25th & Powell 82nd & Glisan 92nd & Powell Albany Battle Ground Beaverton Camas Canby Carman Drive Cascade Park Central Park Centralia Convention Center Cornell Square The Dalles Downtown Vancouver Fisher's Landing Gladstone Gresham Hawthorne Hazel Dell Heights Heritage Center Monmouth Newberg Nomad Orchards Oregon City Parkrose Salmon Creek Sholls & Allen St. Helens St. Johns Sunset Square Twin Cities Van Plaza West Linn Woodland

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Customer Type Choose: Not Applicable Drive-thru Dine-in Carry out

First Name

Last Name

Address

Address 2

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Best Method of Contact Choose: Email Phone Mail Does not need to be contacted

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