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Customer Support Form
This form is for customers about orders, if you are client of Simple Mutant please complete the Client Support Form in the Visceral Dashboard
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1
CURRENT QUEUE TIME
24-48 Hours
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2
Order No
*
This field is required.
This is not critical, so if you can't find the order number don't worry about it. But, it is helpful, especially for enrollees who are just beginning, so we can look up the original enrollment information, in order to property record your test information. Please put N/A if not found or applicable.
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3
Name
*
This field is required.
First Name
Last Name
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4
E-mail
*
This field is required.
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5
Urgency Level
*
This field is required.
This does NOT guarantee a resolution in this timeframe and some customer support tickets may be given a new priority based on correct workloads.
Today
In the next 48 hours
This week
Not Urgent
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6
I'm having a problem with:
*
This field is required.
New Order
Delivery of product
Billing or charge
Other
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7
How can we help you?
*
This field is required.
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Should be Empty:
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