"Extra Mile" Submission Form

Name :: First name and last inital preferred
 
City :: City where you live
 
State :: State where you live
 
Email Address :: Email Address
 
Describe the "Extra Mile" customer service you received:
 
Describe the "Extra Mile" customer service you received: :: Please limit your entry to 500 words or less
 
Optional: Attach a photo of the service person or establishment :: jpg files only, please
 
By checking this box, you grant permission for the NCSA to use this submission without restriction.
 

:: Required for "Extra Mile" story submission