BXI - St. Louis Feedback Form

Your name: 

Have you been receiving your statements? Y N

Are your statements correct? Y N

Do you want to be listed in the BXI Directory? Y N

Do you wish to Advertise in the Hot Fax? Y N

Are you satisfied with how your account is being serviced? Y  N

Would you like a call from our office to discuss how to promote your product or service? Y N

A call to discuss how to use your BXI dollars? Y N

        If Yes, Please enter your phone number here: 

Would you serve on a committee regarding Charity, Membership, Growth or Arbitration? Y N

Do you have a BXI Checkbook? Y N

Do you have a BXI - St. Louis Directory? Y N

What can we do to improve our service?

Pressing "Submit" will submit this form.  Please press the button only once.

Thank you for taking the time to complete this form.