Duress Support Form

1

Which Duress™ product do you need help with?* This field is required.Select the Duress™ product you are enquiring about so we can better understand your request.

Duress™ Falcon (Rectangle)

Duress™ Watch (Round)

Duress™ App

Duress™ Dashboard

Duress™ KeyChain Button

Duress™ Card

Other

2

How can we help you?* This field is required.Please write a detailed description of the situation for which you need assistance

3

Please attach any photos that will help us better understand your issue.Make sure that the images are clear and that any text can be easily read.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

4

What organisation do you belong to?* This field is required.This helps us to better understand and customise your request.

5

If you are a part of a large organisation, please add your team/store.For example, please type the store/team name or location.

6

Would you like to schedule a call back from our team?* This field is required.You can schedule a date and time at which we will call you back. Otherwise we will contact you at our earliest opportunity.

Yes, I'd like to set up a timeNo, I'm good

7

When would you like to arrange a call back?* This field is required.Please select a date and time for one of our friendly team members to call you back regarding the issue you need our help with. Please note that our support team works from Melbourne, Australia and the times available below are all in local time (AEDT).

8

Please enter your preferred way of contact* This field is required.Please enter your contact information so our team in get in touch with you.

Full Name

Email Address

Contact Number