Bruxies EG APP Support Request
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
I'm having a problem with:
App Opening
Register Account
Other
Describe Your Problem
File Upload (If Any)
Browse Files
Drag and drop files here
Choose a file
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of
How would you like to be contacted?
Either phone or e-mail
By phone
By e-mail
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