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technical support: request form

Please fill out the following form for technical support for your PurgHost account. It is very important that customers use the available resources on our web site before consulting with our technical support team.
  Domain Name: *
Name: *
   
Email: *
   
Helm Username: *
   
Helm Password: *
   
 Explanation of Question or Problem: *
* Denotes required field.

IMPORTANT NOTES:
1. Please provide error messages if applicable.
2. If you require scripting or database usability support please be extremely specific, include line numbers.
3. If we cannot contact you via e-mail, please provide a fax number in the explaination text area.
4. Provide any troubleshooting steps you may have already taken as this will save you time.
5. Make note if you are sure your domain and hosting account are not overdue. Complex requests will often times end up being due to an overdue bill for a hosting account.

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