Customer Details:

Name*: Contact Phone*: Email*:

Purchase Details:

Store Purchased from*: Please select:AUCKLAND EAST/East Tamaki- Bakehouse & CafeAUCKLAND EAST/Pakuranga- Edgewater TakeawaysAUCKLAND EAST/Panmure- Farmers Fresh Fruit N Vege SupermarketAUCKLAND SOUTH/Papatoetoe- Mobil Cavendish DriveAUCKLAND SOUTH/Takanini- Mobil Porchester RdAUCKLAND WEST/New Winsdor- Roti CornerBAY OF PLENTY/Murupara - Murupara StoreBAY OF PLENTY/Omokoroa- Omokoroa SuperetteBAY OF PLENTY/Opotiki- Sunlight SuperetteBAY OF PLENTY/Papamoa- Papamoa Beach SuperetteBAY OF PLENTY/Rotorua- Bula TakeawaysBAY OF PLENTY/Rotorua- Challenge RotoruaBAY OF PLENTY/Rotorua- Eastside Price CuttersBAY OF PLENTY/Rotorua- Mobil Te NgaeBAY OF PLENTY/Rotorua- Natures SuperetteBAY OF PLENTY/Tauranga- Brookfield Foodmart and LottoBAY OF PLENTY/Tauranga- Carlisle Convenience StoreBAY OF PLENTY/Tauranga- Central Parade SuperetteBAY OF PLENTY/Tauranga- Lakes Food & DairyBAY OF PLENTY/Tauranga- Family Choice SupermarketBAY OF PLENTY/Waihau Bay- Waihau Bay StoreBAY OF PLENTY/Waimana- Waimana General StoreBAY OF PLENTY/Whakatane- Allandale SuperetteBAY OF PLENTY/Whakatane- Taneatua SuperetteBAY OF PLENTY/Whangamata- Whaka SeafoodBAY OF PLENTY/Whangamata- Whangamata Food MarketCANTERBURY/Ashburton - A to Z SuppliesGISBORNE/Makaraka- Makaraka Dairy & BakeryHAWKE’S BAY/Frasertown- The Frazy Dairy and TakeawaysHAWKE’S BAY/Hastings- Flaxmere SupermarketHAWKE’S BAY/Mahia- Mahia Ave StoreHAWKE’S BAY/Mahia- Mahia Beach StoreHAWKE’S BAY/Napier- Manna Family MartHAWKE’S BAY/Tutira- Tutira General StoreMANAWATU-WHANGANUI/Bulls- The Bulls Super StoreMANAWATU-WHANGANUI/Foxton- Highway TakeawaysMANAWATU-WHANGANUI/Levin- Super SaveMANAWATU-WHANGANUI/Pahiatua- Choices DairyMANAWATU-WHANGANUI/Palmerston North- Supa Save Mini MartMANAWATU-WHANGANUI/Taumarunui- BP 2go TaumarunuiMANAWATU-WHANGANUI/Whanganui- Challenge CastlecliffMANAWATU-WHANGANUI/Waiouru- Waiouru Takeaways and DairyNORTHLAND /Dargaville- BP 2go DargavilleNORTHLAND /Kaikohe- Kaikohe DiscounterNORTHLAND /Mangawhai - Mobil MangawhaiNORTHLAND /Moerewa- BP 2go MoerewaNORTHLAND /Te Kōpuru- Te Kopuru SuperetteNORTHLAND /Opua- Opua General StoreNORTHLAND /Oromahoe- Roadhouse CafeOTAGO/Cromwell - Charleez Chicken & Chips CromwellSOUTHLAND/Matarua- Mataura Convenience StoreTARANAKI/New Plymouth - BP 2go MoturoaWAIKATO/Cambridge- Sugoi Sushi CambridgeWAIKATO/Hamilton/Glenview- Choice Convenience StoreWAIKATO/Hamilton/Nawton- Ellicott Road TakeawayWAIKATO/Huntly- Huntly West Price CutterWAIKATO/Mangakino- Rosie's TakeawaysWAIKATO/Maramarua- Maramarua General StoreWAIKATO/Matamata- Super Shine Mini MartWAIKATO/Morrinsville- Choice Convenience StoreWAIKATO/Taupiri- Snack N Go TaupiriWAIKATO/Thames- Te Puru Store & TakeawaysWAIKATO/Thames- Totara SuperetteWAIKATO/Te Aroha- Choice Convenience StoreWAIKATO/Te Awamutu- Choice Convenience StoreWAIKATO/Te Awamutu- Puniu Road TakeawaysWAIKATO/Te Awamutu- Rosetown Superette & TakeawayWAIKATO/Te Kuiti- BP 2go Te KuitiWAIKATO/Te Poi- Te Poi SupermarketWAIKATO/Tirau- Caltex TirauWAIKATO/Tokoroa- Challenge TokoroaWAIKATO/Waharoa- Value Food MartWAIKATO/Whatawhata- GAS WhatawhataWELLINGTON/Aro Valley- Aro Valley FoodmarketWELLINGTON/Carterton- North End StoreWELLINGTON/Lower Hutt- Charleez Chicken Challenge MoonshineWELLINGTON/Lower Hutt- Kelson General StoreWELLINGTON/Lower Hutt- Konini SuperetteWELLINGTON/Lower Hutt- Supersave NaenaeWELLINGTON/Lower Hutt- Super Save Park AveWELLINGTON/Lower Hutt- Super Save TaitaWELLINGTON/Masterton - Mr Chips MastertonWELLINGTON/Masterton - Renall Street StoreWELLINGTON/Porirua - Takapuwahia SuperetteWELLINGTON/Te Aro- City Stop Manners StreetWELLINGTON/Upper Hutt- Plenty Foods BrewtownWELLINGTON/Waikanae - Te Moana Grocery StoreWEST COAST/Greymouth- Mac’s Store & Takeaways Date of Purchase*: Time of Purchase*: 5:00 am5:15 am5:30 am5:45 am6:00 am6:15 am6:30 am6:45 am7:00 am7:15 am7:30 am7:45 am8:00 am8:15 am8:30 am8:45 am9:00 am9:15 am9:30 am9:45 am10:00 am10:15 am10:30 am10:45 am11:00 am11:15 am11:30 am11:45 am12:00 pm12:15 pm12:30 pm12:45 pm1:00 pm1:15 pm1:30 pm1:45 pm2:00 pm2:15 pm2:30 pm2:45 pm3:00 pm3:15 pm3:30 pm3:45 pm4:00 pm4:15 pm4:30 pm4:45 pm5:00 pm5:15 pm5:30 pm5:45 pm6:00 pm6:15 pm6:30 pm6:45 pm7:00 pm7:15 pm7:30 pm7:45 pm8:00 pm8:15 pm8:30 pm8:45 pm9:00 pm9:15 pm9:30 pm9:45 pm10:00 pm10:15 pm10:30 pm Was a receipt provided? YesNo Upload photo of receipt: Upload photos of the product or issue (min. 1 photo required for complaints):

Your Order:

What did you purchase? (Select all that apply) ThightsDrumsTendersWingsChipsPotato PopsCombo Meal Other (please specify):

Rate your experience:

How was... (1 = Very Bad → 5 = Excellent) How Succulent was our chicken: Flavour/taste of the chicken: Freshness of the chips / potato pops: Portion size: Overall satisfaction: Message*: Resolution Preference*: I would like the store to contact meI am providing feedback only

Important Notice: All complaints are assessed using store CCTV, POS timestamps, and photographic evidence. Refunds, replacements, or credits will be provided only after the issue has been verified at the store level.