To start, we need to gather some basic contact information from you. It will only take a moment.

press Enter ↵

'Oops! something went wrong.',

Let's begin with a simple question: what is your first name?

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'Oops! something went wrong.',

And what is your last name?

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'Oops! something went wrong.',

Thank you, ___. It's great to meet you!

Please share your email address with us.

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'Oops! something went wrong.',

Now, could you provide your actual address in case we need to send something to you?

What is your street and house number? e.g. 14 Martin Street, Apartment 2B

press Enter ↵

'Oops! something went wrong.',

What is your city/town and the state/province you reside in?

e.g. Vancouver, British Columbia

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'Oops! something went wrong.',

Awesome! Could you provide your zip code?

press Enter ↵

'Oops! something went wrong.',

Lastly, which country do you live in?

press Enter ↵

'Oops! something went wrong.',

Great! Now, we need one last personal detail to contact you:

What is your phone number?
Please include the area code when applicable

press Enter ↵

'Oops! something went wrong.',

Thanks for that. Just a few more questions! We’d like to know whom you need this information for.

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'Oops! something went wrong.',

Is the information you’re requesting for your personal use?

Yes

No

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'Oops! something went wrong.',

If not, could you tell us for whom you're requesting this information?

Another person

A company

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'Oops! something went wrong.',

Thank you! We need to ask a few basic questions about the individual you're requesting information for:

What is their full name? Please include the last name

press Enter ↵

'Oops! something went wrong.',

Is there a way for us to contact this person if needed?

For example: email address or home address

press Enter ↵

'Oops! something went wrong.',

Thank you! Now, we need a few details about the company you're inquiring about:

What is the name of the company?

press Enter ↵

'Oops! something went wrong.',

Can you provide a way for us to contact this company if necessary?

For example: website or email address

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'Oops! something went wrong.',

Are you employed at this company?

Yes

No

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'Oops! something went wrong.',

Great! What is your role or title within the company?

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'Oops! something went wrong.',

Fantastic! Now, we need to gather a bit more about how we can assist you. Just two quick questions.

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'Oops! something went wrong.',

What specific information would you like to request?

Please be as detailed as possible

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'Oops! something went wrong.',

Once we provide you with the information, what do you intend to do with it?

We trust your intentions, but we need to verify!

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'Oops! something went wrong.',

Good to know! Almost done.

If you have any documents, screenshots, or images that could support your request for information, please upload them here.

You can drag & drop or paste as well

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'Oops! something went wrong.',

Thank you! Before you go, ___, we have a question about future communication.

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'Oops! something went wrong.',

Would you like to be added to our mailing list to receive news and updates from us?

Yes

No

press Enter ↵

'Oops! something went wrong.',

Excellent! Should we use the email you provided earlier (___) or is there a different one?

Use the above email address

Use a different email address

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'Oops! something went wrong.',

Please let us know the email address you'd like us to use for the mailing list.

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'Oops! something went wrong.',

That’s fantastic, thank you! Just one last question:

Do you have any other questions or comments about your information request?

press Enter ↵

'Oops! something went wrong.',

That’s all for now! Thank you, ___, for taking the time to clarify your needs.

We’ll review everything and get back to you as soon as possible!

Create your own Youform

Welcome back! Loading your previous answers...

Hi there! Before we begin assisting you, could you please take a moment to answer a few brief questions? Thank you!

To start, we need to gather some basic contact information from you. It will only take a moment.

Thanks for that. Just a few more questions! We’d like to know whom you need this information for.

Fantastic! Now, we need to gather a bit more about how we can assist you. Just two quick questions.

Thank you! Before you go, ___, we have a question about future communication.

That’s all for now! Thank you, ___, for taking the time to clarify your needs.