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Denny's Discrimination Customer Claim form
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| DENNY'S DISCRIMINATION CUSTOMER CLAIM FORM |
| A NIRVANAnet(tm) Infodose written by Zardoz |
| Distributed via the NIRVANAnet(tm) text file distribution network |
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DENNY'S DISCRIMINATION CUSTOMER CLAIM FORM
Your Name ______________________________________________________________
What Time/Date did you visit Denny's? ____________________
What Ethnic Origin are you (circle one)?
A. Hispanic
B. Black
C. Japanese/Chinese
D. Other
How many people were in your party?
A. 1-4
B. 4-8
C. 8-12
D. Busload (more that 12)
(Complete the following sentence)
"I feel I/we was/were discriminated against at Denny's because ...."
A. We were seated after other people who arrived after us were seated,
(seated out of order).
B. Our waitress was rude to us.
C. Our waitress took a long time to deliver our food.
D. Our food was delivered cold.
E. We didn't get the free refills on our soft drinks.
F. No one sang 'Happy Birthday' to us even though we received the free
birthday meal.
G. Other patrons had nicer 'Childrens Meal' toys than we did.
H. Our 'Grand Slam' food portions were smaller than the ones pictured on
the menu.
"I believe we should receive the following compensation..."
(Circle all those that apply)
A. Front page story in the Mercury News
B. Big cash settlement from the Denny's Corporation
C. Free meals for life at Denny's
D. A sincere televised apology from both Denny's and Kathy Cole
Thank you for participating in our survey. In 3-4 weeks, one of our
attornies will be contacting you. Thank you for visiting Denny's and
taking the time to fill out this claim form.
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