Custom Feedback Form

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Get the Info you Need

Completely customize the info you collect from your Fan Club Members and Customers. This feature allows you to ask questions to your visitors to get input from them. You can send an automated email message and while recieve an email with the info. Very Cool!

Features

Fields can be optional or required

Collect physical addresses for snail mailing

Autoresponder feature built-in

Submissions can be emailed to you automatically when received

Quick and easy to change the order of the fields

You can "run report" to see all submissions together

Field Types
        - Text boxes for written out answers
        - Multiple choice - Radio Buttons
        - Drop-down menus
        - Checkmark boxes

Benefits

A personalized email can be automatically sent when a submission is received

Great way to collect the exact info that your need

Sample Custom Feedback Form

Name *
E-mail Address *
Snail Mail Address (Multiline Text Field)
City (Single Line Text Field)
State (Single Line Text Field)
Zip Code (Single Line Text Field)
Tell us about your website needs (Drop Down Menu)
If you already have a website tell us about it (Radio Buttons)	Need to add a shopping cart/store Very outdated...needs a make-over Love the look, but needs more features I want to be able to update it myself Needs to interact with fans better Embarrassed to give out my web address
Comments - Tell us what you think (Multiline Text Field)
	Check this box if you want us to contact you (Checkbox Field)

* Fields marked with an asterisk are required fields

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