| Customer Name (optional): |
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| What would you change to make it easier to do business with Mt. Washington Bank? |
| How many times a month do you use your Mt. Washington Bank ATM or Debit Card at another
Bank’s ATM? |
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| Have you experienced any problems with the bank’s services or products in the last 3 months? |
| If so, was it resolved to your satisfaction? |
| May we contact you about the information provided? |
| Have a great idea? Please tell us about it. |
| Please enter the words you see in the box, in order and separated by a space. Doing so helps prevent automated programs from abusing this service. |