Chelsea Inn

Initial Business Response / [redacted] (1000, 10, 2014/12/09) */ Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Pharmacy Supervisor [redacted] for handlingThe following information was provided as the resolution details I spoke with the patient today and she was very upset about her medication being out of stockShe indicated that the pharmacist was rude and indicated that they normally do not mail out her medicationsShe indicated that the pharmacist [redacted] was very rude to her and told her that the manager was not in the buildingI apologized to her for her frustration and delay in getting her medicationThe [redacted] was for days and she never received the medicationShe indicated that she received the medication in December with the help from [redacted] She indicated that [redacted] the new [redacted] worked with [redacted] to resolve the situationThe patient indicated that she would not return to this location because of how [redacted] treated her on this issue but plans to go to store [redacted] She thanked me for my call and I assured her that I would follon this concern with the pharmacist involved If you have any questions please do not hesitate to contact me Thank you, [redacted] Consumer Relations Specialist [redacted] XXXXX Fax: XXX-XXX-XXXX

Initial Business Response / [redacted] (1000, 8, 2014/09/22) */ Please have customer to provide the store number or location where this matter took place at Thank you Consumer Relations Case #: XXXXXXXX Consumer: [redacted] Please understand that the complaint content and your response will be publicly posted on the Revdex.com web site (Revdex.com reserves the right to not post in accordance with Revdex.com policy)Please do not include any information that personally identifies your customerBy submitting your response, you are representing that it is a truthful account of your experience with this consumerRevdex.com may redact the complaint or your response to protect privacy rights and to remove inappropriate language The Revdex.com has received the above-referenced case from a consumerThe details of the consumer's concerns are available by clicking herePlease review this matter and advise us of your position Case #: XXXXXXXX Consumer: [redacted] Case Opened: XXXX- The Revdex.com takes no position as to the validity of the caseOur goal is to help you and the consumer resolve this issue in a mutually satisfactory manner In accordance with your Revdex.com Accredited Business agreement, the Bureau is requesting a written response to this case by September 20, If we are unable to satisfactorily resolve the dispute, we will proceed with arbitration as per your Accredited Business agreementPlease note that your response and any additional documentation that you provide in addressing this complaint may be forwarded to the complainantYour prompt response greatly enhances the chance for a successful resolution As this case progresses, you may also consider using Revdex.com alternative dispute resolution services such as binding arbitrationFor more details about arbitration, please visit: [redacted] We encourage you to use our ONLINE COMPLAINT system to respond to this casePlease do not reply to this e-mail as this is a general e-mail address, please use the ONLINE COMPLAINT system Clicking here will take you directly to this case and you will be able to enter your response directly on our websiteBe advised that there may be an attached scanned document that you need to open in order to view the caseIf the above link does not work for you, please copy and paste this URL into your browser: [redacted] /XXXXXXXX/b/7b4deXXXXX [redacted] look forward to your prompt attention to this matterThank you for your continued support of the Revdex.com as well as your efforts in voluntary self-regulation Sincerely, [redacted] Dispute Resolution Specialist - Personal Services [redacted] @chicago.Revdex.com.org Initial Consumer Rebuttal / [redacted] (3000, 11, 2014/09/29) */ Unfortunately I have no knowledge of how Walgreens assigns store numbersThe street address is as follows: [redacted] XXXXX Final Business Response / [redacted] (4000, 13, 2014/10/04) */ We have not heard back from the customer after attempting to get a hold of himIt is company policy to ask for ID when purchased Final Consumer Response / [redacted] (4200, 15, 2014/10/06) */ (The consumer indicated he/she DID NOT accept the response from the business.) I've been following this case closely and have answered every email sent from the Revdex.com concerning this caseI have received no direct communication from WalgreensIn my most recent reply to the Revdex.com I've provided the address of the store that I filed a complaint aboutIf they wish I can provided that againSecondly, based on the information that I have obtained through my Revdex.com complaint against [redacted] Dot, I am now aware that this is a Walgreens Company policy and not a [redacted] Dot policy like the clerk at Walgreens told meI am disappointed that I wasn't told the truth about thisWHAT I AM CONCERNED ABOUT (as I mentioned in my complaint) is my personal information being made visible to whomever should happen walk by, which is why I do not want to submit my ID when reloading my cardIf my ID is going to be required whenever I reload my [redacted] Dot card I want to know what is going to be done to make sure other people do not see my personal information when that information is being entered into the system over and over againI want my privacy protectedFYI I feel so strongly about this I have stopped filling the prescriptions for me an my family at Walgreens and if nothing is going to be done I will stop shopping there completely and share my experiences with family, friends and on social mediaThis is a VERY SERIOUS matter to me

Initial Business Response / [redacted] (1000, 5, 2015/04/17) */ Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Community Leader [redacted] for handlingThe following information was provided as the resolution details This is the email I sent to the customer Good Afternoon Ms***, I've been unsuccessful in my attempt to reach you by phoneI wanted to formally apologize for the poor experience that you received at our location at [redacted] & [redacted] We value your business and your time as we do all of our customersI want to assure that I've discussed this matter with the Store Manager of this location so this type of service is avoided in the futureIf you would still like to discuss this matter please feel free to reach me using the contact information belowAgain, I apologize and do hope that you will give us another opportunity to build your trust Sincerely, [redacted] Community Leader [redacted] XXXXX [redacted] @walgreens.com "Don't judge each day by the harvest you reap, but by the seeds that you plant." - [redacted] If you have any questions please do not hesitate to contact me Thank you, [redacted] Consumer Relations Specialist [redacted] XXXXX Fax: XXX-XXX-XXXX

Initial Business Response / [redacted] (1000, 10, 2015/03/20) */ Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Balance Reward Escalation Team for handlingThe following information was provided as the resolution details [redacted] apologize for the inconvenienceYour Plan ID group does not edit out group numbers as of 11/12/2014, which then automatically flags a Rx of that plan to be government fundedWalgreens must abide by federal law regarding incentives on a flagged government funded RxPlease keep in mind you still have opportunities to earn points on npurchasesAs a one-time courtesy, Walgreens has added 25,points to your account for being a loyal customer If you have any questions please do not hesitate to contact me Thank you, [redacted] Consumer Relations Specialist [redacted] IL XXXXX Fax: XXX-XXX-XXXX Initial Consumer Rebuttal / [redacted] (3000, 12, 2015/03/23) */ (The consumer indicated he/she DID NOT accept the response from the business.) I don't understand how a federal law would require my medical insurance to be labeled as government insurance when it is not

Initial Business Response / [redacted] (1000, 5, 2015/01/07) */ Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to Ecommerce for handlingThe following information was provided as the resolution details The customer was contacted via phone and advised of the known issue walgreens.com experienced regarding incorrect pricing and items becoming out of stockAs stated in our terms and conditions Walgreens makes every effort to provide accurate information about products and their pricing on the ServicesHowever, pricing and/or typographical mistakes may, on rare occasions, appear on these ServicesFor this reason, Walgreens cannot guarantee the price of an item until after you have ordered itIn the event an item appears with an incorrect price or with inaccurate product information, Walgreens reserves the right to cancel any orders for the itemIf an order you placed is cancelled due to mispricing, Walgreens will notify you of the cancellationPrices and availability are subject to change without notice Thanks, Be Well [redacted] Issue Resolver [redacted] Ph#: XXX-XXX-XXXX If you have any questions please do not hesitate to contact me Thank you, [redacted] Consumer Relations Specialist [redacted] XXXXX Fax: XXX-XXX-XXXX

Initial Business Response / [redacted] (1000, 5, 2015/02/12) */ Thank you for contacting our company in regards to this complaintOur Consumer Relations department has determined that we did not receive enough information for handlingThe following information was provided as the resolution details All of the customers cards except the Subway card was activatedWe are unable to get the Subway card activated therefore I will send the customer a replacement card Otherwise the below cards are all activated Vanilla Visa $- activated Vanilla Visa $- activated Panera Bread $- activated Jiffy Lube $- activated Cracker Barrel $- activated Cracker Barrel $- activated The replacement $Subway gift card was sent to the customer todaySent via USPS ( [redacted] XXX-XXX-XXXX)Tracking number XXXX XXXX XXXX XXXX XXXX XXEstimated delivery date of Friday 2/13/ Thank you [redacted] If you have any questions please do not hesitate to contact me Thank you, [redacted] Consumer Relations Specialist [redacted] Fax: XXX-XXX-XXXX

Initial Business Response / [redacted] (1000, 5, 2014/10/04) */ Contact Name and Title: [redacted] RxS Contact Phone: XXX-XXX-XXXX Contact Email: [redacted] @walgreens.com Our assistant manager [redacted] spoke with [redacted] and apologizedShe also offered her a $gift card which she accepted and was satisfiedThe pharmacy staff will be trained on proper extraordinary customer care procedures

Initial Business Response / [redacted] (1000, 8, 2014/09/30) */ Can you please supply the pharmacy location? I am unable to send for a resolution until we have an actual store Thank You Initial Consumer Rebuttal / [redacted] (3000, 10, 2014/10/08) */ From: [redacted] Date: Mon, Oct 6, at 1: PM Subject: Re: Revdex.com Complaint Case# [redacted] (Ref#XX-XXXXXXXX-XXXXXXXX-X-XXX) To: [redacted] " [redacted] XXXXX Final Business Response / [redacted] (1001, 19, 2014/11/17) */ Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Pharmacy Supervisor [redacted] for handlingThe following information was provided as the resolution details I spoke with Mr [redacted] todayI had Left messages last week Mr [redacted] was satisfied with our conversation He did not require any compensationPharmacist was spoken with and was told to circle and initial all counts for medications he dispenses If you have any questions please do not hesitate to contact me Thank you, [redacted] S Consumer Relations Specialist [redacted] RdMS# [redacted] XXXXX Fax: XXX-XXX-XXXX

Initial Business Response / [redacted] (1000, 6, 2015/03/24) */ Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this to the District Manager [redacted] for handlingThe following information was provided as the resolution details To whom it may concern, I have left a message with Mr [redacted] at noon todayI let him know I would try to reach him again this afternoon To remedy the situation going forward: the store manager has counseled the manager who was involvedHe taught her how to locate numbers for the customer depending on what card being used and how to apologize to the customerIn this situation, we did not explain well enough to the customer how EBT cards work when there is a problem The store manager did get ahold of customer for the resolution and seemed satisfied with itAs I find out more information I will update all If you have any questions please do not hesitate to contact me Thank you, [redacted] Consumer Relations Specialist [redacted] MS# [redacted] Deerfield IL Fax: XXX-XXX-XXXX

Initial Business Response / [redacted] (1000, 10, 2015/01/20) */ Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Pharmacy Manager [redacted] for handlingThe following information was provided as the resolution details The Customer was contacted by phone, by the Pharmacy Manager, [redacted] on January 15th, The Customer was informed that our records indicated the correct amount dispensedThat being said, we also informed the patient that the Prescriber would be contacted for a written prescription for the tablets that are now missingThe Prescriber complied, and has a written prescription for this amount of medication, for this patient The customer was satisfied Compensation will be to waive the patient's copay for the missing tablets - for notifying us of the issue All Rx Staff have been again been notified of the correct procedures, and the Pharmacy Manager also has been instructed to contact the Prescriber if additional medication is to be dispensed If you have any questions please do not hesitate to contact me Thank you, [redacted] Consumer Relations Specialist [redacted] XXXXX Fax: XXX-XXX-XXXX Initial Consumer Rebuttal / [redacted] (3000, 12, 2015/01/20) */ (The consumer indicated he/she DID NOT accept the response from the business.) I was rudely treated through this whole ordeal, then Walgreens made me drive clear out to my doctors office to get an RX for pills that Walgreens shorted me, then take it to store where lady yelled at me that is was too soon to fill RX & threw prescription back at me then I tried to tell her it was for the pills I was shorted, then she demanded the RX back & was completely rude to me, lady needed an attitude adjustmentI am done using this Walgreens for my prescription needs

Initial Business Response / [redacted] (1000, 5, 2015/01/06) */ Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to [redacted] for handlingThe following information was provided as the resolution details The customer was contacted via phone and advised of the known issue walgreens.com experienced regarding incorrect pricing and items becoming out of stockAs stated in our terms and conditions Walgreens makes every effort to provide accurate information about products and their pricing on the ServicesHowever, pricing and/or typographical mistakes may, on rare occasions, appear on these ServicesFor this reason, Walgreens cannot guarantee the price of an item until after you have ordered itIn the event an item appears with an incorrect price or with inaccurate product information, Walgreens reserves the right to cancel any orders for the itemIf an order you placed is cancelled due to mispricing, Walgreens will notify you of the cancellationPrices and availability are subject to change without notice Thanks, Be Well [redacted] Issue Resolver [redacted] Ph#: XXX-XXX-XXXX If you have any questions please do not hesitate to contact me Thank you, [redacted] Consumer Relations Specialist [redacted] XXXXX Fax: XXX-XXX-XXXX Initial Consumer Rebuttal / [redacted] (3000, 7, 2015/01/06) */ (The consumer indicated he/she DID NOT accept the response from the business.) The response says "The customer was contacted via phone and advised of the known issue walgreens.com experienced regarding incorrect pricing and items becoming out of stock" I was never contacted via phone as of today (01/06) so this is completely false Order cancellation email (received days after order placed) said items cancelled because they were out of stockthe items were, and are even right now, in stock and ready to ship on Walgreens.com This is the first time I'm being notified of alleged "incorrect pricing"This pricing was available on their website for days from 12/to 12/Does it take days for a company to "correct" incorrect pricing? The pricing was only slightly lower that what was available elsewhere, so it seems very unlikely that it was actually a pricing error as claimed I see the "terms and conditions" are being referred toDo these terms also state it's ok to blatantly lie about order cancellation reasons, or lie about contacting the customer, when they have not contacted me? I have not even received a reply to the emails I sent

Initial Business Response /* (1000, 5, 2015/02/26) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to *** *** for handlingThe following information was provided as the resolution details
I talked to Mr
***
He explained his experience and how disappointed he is now that this has drug out over a month to get a response
I apologized for his poor experience, and also apologized for me dropping the ball and not contacting him earlier
I explained it should have been handled that day and we try to take care of our customers' issues immediately
I offered him the deal of 3/$for ANY 12pack including beerHe said he was going to bring a bunch of money since the sign did not specify a limit
I told him that there was an obvious technical problem and we would honor the price and limit it to one deal, just as we would have that day
He said he has contacted the Revdex.com and they were going to take care of it, and he mentioned the FTCI told him that was his right and we are still going to honor the deal to him one timeHe didn't want to take it due to waiting for the Revdex.com to deal with it
I assured him Ms*** and all her managers were aware of the situation and he could pick it up at his convenienceHe told me he would be by sometime to get it
I talked to *** at the store and explained the situation and she told me she would make sure all management was aware of the situation
If you have any questions please do not hesitate to contact me
Thank you,
*** **
Consumer Relations Specialist
*** *** *** *** *** ***
*** ** XXXXX
Fax: XXX-XXX-XXXX
Initial Consumer Rebuttal /* (3000, 7, 2015/02/26) */
(The consumer indicated he/she DID NOT accept the response from the business.)
there was no limit...after dealing with it for over a month...honestly yeah im going to take some money in and make it worth my time..he said well were not gonna let you buy us out...sorry not my fault....seems like its time to learn a lesson in customer service the hard way

Initial Business Response /* (1000, 9, 2014/12/09) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has determined that we did not receive enough information for handlingThe following information was provided as the resolution details
Mr***,
** apologize for the inconvenience this may have caused youIn order for us to assist and get help from the vendor we will need a copy of the receipt along with the front and back of the actual cardAlso, please include the card typeAs soon as we receive this information we will be able to assist
If you have any questions please do not hesitate to contact me
Thank you,
*** **
Consumer Relations Specialist
*** *** *** *** ***
*** ** XXXXX
Fax: XXX-XXX-XXXX

Initial Business Response /* (1000, 5, 2014/12/31) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has deciding we did not receive enough information for handlingThe following information was provided as the resolution details
Dear Mr
***
We do apologize for any inconvenience this may have caused youWe would like to assist you with this issue, but we did not receive enough information to do soPlease provide the store location in which this incident took place so that we may be able to have the correct store manager look into this and resolve
If you have any questions please do not hesitate to contact me
Thank you,
*** H
Consumer Relations Specialist
*** *** *** *** *** ***
*** ** XXXXX
*** XXX-XXX-XXXX

Initial Business Response /* (1000, 10, 2014/12/17) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Service Recovery Team for handlingThe following information was provided as the resolution details
1.Was the
customer contacted? Yes, by phone
Was the customer satisfied? Yes
3.What actions were taken to prevent reoccurrence? Contacted the customer 12/15/Apologized for the experience and educated him on the option to call XXX-XXX-XXXX to get status of clinic, or to make an appointmentAlso educated him about our websiteCustomer said he was unaware of these optionsHe says he *** return to *** now that he knows there is an option to make appointment via phone
Thank you,
***
Service Recovery
If you have any questions please do not hesitate to contact me
Thank you,
*** H
Consumer Relations Specialist
***
***
Fax: XXX-XXX-XXXX

Initial Business Response /* (1000, 10, 2014/10/21) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the store manager *** *** for handlingThe following information was provided as the resolution details
Was the customer contacted? If so, in what form? (i.eemail, phone or letter) Yes, store manager spoke with customer via phone
Was the customer satisfied? Yes
Was compensation provided? (if gift card, the gift card number and amount) Yes$gift card #XXXXXXXXXXXXXXXXXXXMain complaint was length of time to have concern resolved
What actions were taken to prevent reoccurrence? Training for employees
If you have any questions please do not hesitate to contact me
Thank you,
*** **
Consumer Relations Specialist
*** *** *** *** *** ***
Deerfield IL XXXXX
Fax: XXX-XXX-XXXX

Initial Business Response /* (1000, 8, 2014/10/03) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the E-Comm Issue Resolver Rosemary Guzman for handlingThe following information was provided as the resolution details
Was the customer contacted? If so, in what form? (i.eemail, phone or letter) - I called Mr*** ***I explained that Sotalol 80mg tablets are not on the WCARD formulary, thus the price increaseI informed him that Sotalol 120mg and 160mg tablets remain on WCARD formulary
Was the customer satisfied? - Mr*** was satisfied with explanation
Was compensation provided? (if gift card, the gift card number and amount) - Mr*** accepted the $refund to his *** credit card on file
What actions were taken to prevent reoccurrence? - Mr*** will be picking up his medication locally
If you have any questions please do not hesitate to contact me
Thank you,
*** **
Consumer Relations Specialist
*** *** *** *** *** ***
Deerfield IL XXXXX
Fax: XXX-XXX-XXXX

Initial Business Response /* (1000, 10, 2015/02/11) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has determined that ** did not receive enough information for handlingThe following information was provided as the resolution details
Dear Ms***,
** apologize for the inconvenience this may have caused youWe did not receive enough information to address this issuePlease provide the store location that's in question so that we will be able to assist youOnce we receive this information we will have senior management to address these issues
If you have any questions please do not hesitate to contact me
Thank you,
*** **
Consumer Relations Specialist
*** *** *** *** MS# ***
*** ** XXXXX
Fax: XXX-XXX-XXXX
Initial Consumer Rebuttal /* (3000, 12, 2015/02/18) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Revdex.com case #XXXXXXXXWalgreens***Talk to your people at corporate, no one there has a clue about secondary inswith Save RX
Final Business Response /* (4000, 16, 2015/02/20) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Pharmacy Supervisor *** Storm for handlingThe following information was provided as the resolution details
A check was cut to the patient for $on 02/04/The patient wanted additional prescriptions billed but the plan only has a day billing window
Thank you,
*** ***
Assistant Manager
Work Comp, 3rd Pty Retros, Take Care ESG
If you have any questions please do not hesitate to contact me
Thank you,
*** **
Consumer Relations Specialist
*** *** *** *** *** ***
*** ** XXXXX
Fax: XXX-XXX-XXXX

Initial Business Response /* (1000, 5, 2015/02/18) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Vendor *** *** for handlingThe following information was provided as the resolution details
This card
along with their child cards, XXXXXXXXXXXXXXXX, XXXXXXXXXXXXXXXX and XXXXXXXXXXXXXXXX were successfully activated on 12/18/at Walgreens location XXXXX
Thank you
***
If you have any questions please do not hesitate to contact me
Thank you,
*** **
Consumer Relations Specialist
*** *** *** *** *** ***
*** ** XXXXX
Fax: XXX-XXX-XXXX
Initial Consumer Rebuttal /* (3000, 7, 2015/02/18) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Yes the cards were activated but the codes underneath the protective covering are defective per the manufacturer (Microsoft)
Final Business Response /* (4000, 16, 2015/03/18) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Vendor for handlingThe following information was provided as the resolution details
I have reviewed the customers' case and have reached out to Microsoft regarding the XBOX Multipack that has been purchased by the customerI have confirmed internally as well as with Microsoft that all of the cards were successfully activatedMicrosoft also confirmed that one of the three cards (PIN:***) was redeemed on December 27th The customer's concern seems to be around the protective covering being defectiveThe customer sent us an image of the purchase receipt as well as an image of the back of all three of the gift cards in questionIn the image the protective covering appears to be scratched offHowever, even though the protective covering is scratched off all of the PIN numbers, which are used for redemption, are legibleThe two remaining cards are activated and have funds available to be redeemed
Thank you
***
If you have any questions please do not hesitate to contact me
Thank you,
*** **
Consumer Relations Specialist
*** *** *** *** *** ***
*** ** XXXXX
Fax: XXX-XXX-XXXX

Initial Business Response /* (1000, 7, 2014/12/18) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has determined that ** did not receive enough information for handlingThe following information was provided as the resolution
details
Dear ***,
** apologize for the inconvenience that you have experienced in one of our locations** would like to have this issue address with our senior management, but did not receive enough information to do soPlease provide the store location in which this took place so that may further assist you
If you have any questions please do not hesitate to contact me
Thank you,
*** **
Consumer Relations Specialist
*** *** *** *** *** ***
*** ** XXXXX
Fax: XXX-XXX-XXXX
Initial Consumer Rebuttal /* (3000, 9, 2014/12/18) */
(The consumer indicated he/she DID NOT accept the response from the business.)
The store location is
*** *** ***
*** ** XXXXX
XXX-XXX-XXXX
Store #: ***
It happened on Monday, December 15th at 10:40pm
Regards
Final Business Response /* (4000, 13, 2014/12/29) */
Thank you for contacting our company in regards to this complaintOur Consumer Relations department has sent this case to the Store Manager *** *** for handlingThe following information was provided as the resolution details
Good morning Mr***
Thank you for your letter regarding our products and your most recent experience at our location** always appreciate the good feedback as will help us to improve our products and specially our service
Regarding the issue with the Sundown vitamins not scanning at the sale price and not able to get the right solution from one of our staff members is completely unacceptableI am really sorry you were not able to get the vitamins on your last visit and I am asking you to please accept my sincere apology
I would like to extend and honor the sale price on the vitamins on your next visit at our location in and also ensure you that your experience will help retrain our staff and make things right to meet and raise our customers satisfaction level
Please accept this offer and my sincere apologies
*** ***
** Store Manager
Walgreens
*** *** ***
*** *** XXXXX
Thank you,
***
Consumer Relations Specialist
*** *** *** *** ***
*** ** XXXXX
Fax: XXX-XXX-XXXX