Sample Web Ticket Submission Form

DEAR USER:

CYNERGY OFFERS THREE WAYS TO SUBMIT TICKETS:

• Direct Email to: support@yourdomain.com
• Direct Login to the Cynergy Support Site (end user or staff level user)
• Web Form Ticket Submission

THE FOLLOWING EXAMPLE IS A TICKET SUBMISSION FORM THAT WAS BUILT USING MICROSOFT FRONTPAGE. YOU CAN HAVE A VARIETY OF USER DEFINED FIELDS AND DROP DOWNS IN THIS AREA AS WELL AS ANY HTML TEXT DESIRED. SPEAK WITH YOUR CYNERGY REPRESENTATIVE FOR MORE DETAILS.

TO EXPERIENCE THIS FORM, FILL OUT THE FORM AND CLICK SUBMIT.

Thank you for using our Automated Submission System.

Your Friendly Support Team

Please Enter Email address:
	(Example: john@yourdomain.com)

Note to user:  It is imperative that you use the email address that we have on file for you with this organization. Alternative email addresses that ARE NOT on file will not submit.

---

Please select a Corresponding Category from the drop down menu.
Ticket Category	--- Install Service Warranty Work Support Issue

Please describe the Subject of your issue in one or two words.
Subject:
	(Example: Printer Issue)

 

Please add Comments that will assist in your issue: