WIS NextG Card Survey

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Hello

You are about to complete the WIS NextG card survey.

Please answer the following questions and send your response by close of business Thursday 17 May 2012.

Please enter your full name (first and last name)

Please enter your contact land line phone number including area code.

Please enter your contact mobile phone number.

Please enter your email address.

Please enter the WIS trading stream name you work for. For example, Blackwoods, Protector Alsafe,WIS Support.

Please enter your branch location.

Please enter your NextG card's SIM number. The SIM number is located on the right hand side of the SIM card.

Thank you very much for completing the survey.