This is an example website form from Surveyi.com.  At Surveyi we have a range of sample website forms for you to copy, or use as templates to create your own custom website forms for free and embed in your website!
Customer Complaint Form Template
1334 19
1. Your contact information
Name:
Address 1:
Address 2:
Town/City:
County:
Postcode:
Country:
Email Address:
Phone Number:
Customer ID:
1335 17
*2. Date and time of incident
Time (24hr - HHMM):
1336 2
*3. The nature of your complaint:
Page 1
This is an example website form from Surveyi.com.  At Surveyi we have a range of sample website forms for you to copy, or use as templates to create your own custom website forms for free and embed in your website!