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Welcome to the UDF Guest Feedback Survey. We value your candid feedback and appreciate you taking the time to complete our survey.
Please enter the following pieces of information from your receipt.
Store Number:
Receipt Number:
Date: -- 010203040506070809101112 / -- 01020304050607080910111213141516171819202122232425262728293031 / -- 2021
Time: -- 010203040506070809101112 : -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 -- AMPM
Upon completion of this survey, you will be given a validation code that can be used to redeem the offer printed on your receipt.
