For prompt assistance, please complete this form with your signature as soon as you have an issue and send it via email to or print it and fax to (305) 428-2729. You will receive a call within four (4) hours if we receive your request before 1 p.m. ; or between 9 a.m. and 1 p.m. of the next business day if after 1 p.m.

1 Step 1
THIS IS AN EMERGENCY(check only if system is inoperable)
Business Name
Person Nameyour full name
Positionwithin the company
DateProblem Occurred
Main Telephone Number
Backline Telephone Number
Alternate Telephone Number
Problem subject
Is this the first time this problem occurred?
Describethe problem
0 /
Program(s) in usewhen problem occurred
0 /
Program Version
Action taken on your end to verify or resolve the problem before calling Support
0 /
Impact on operation
FormCraft - WordPress form builder

If you are requesting support via email with attachments* please list any attachments you are sending, and send to

*Important: If you are emailing this form, please send it –and any screenshots of error messages– as an ATTACHMENT. Do not attempt to embed any documents in any emails that you send. Thank you.