Technical Support

Please complete as much information as possible so our Technical Team can investigate your issue.

Anything marked with * is a required field and must be filled in before submitting.

01 Customer & Case Details

Customer / Distributor Name *

Order Number

Email Address *

Contact Number *

Preferred Contact Method

02 Product & Purchase Information

Where did you purchase the EasiHold materials?

Batch Number / Production Date *

Product Used & Container Size *

How Many Bottles Were Purchased?

03 Project Installation & Description

Project Description *

Installation Date *

When was EasiHold applied?

Site Location *

This helps us check local weather conditions.

Project Area Size

Number of Coats

Application Method

Background Information *

04 Weather & Environmental Conditions

Weather During Application *

Weather After Application *

When Did the Issue First Appear? *

Please also provide an approximate date.

Storage Conditions *

05 Issue / Problem Report

What Issue Are You Experiencing? *

Where Is the Issue Located? *

Has the Issue Changed Over Time? *

06 Photos & Supporting Evidence

Photos Required *

Please attach close-up photographs of the issue and wider photographs showing the full area.

Packaging / Labels *

Please provide clear photographs of the product packaging, batch number and labels where possible.

Additional Evidence

07 Customer Declaration

I confirm that the information provided is accurate to the best of my knowledge and that the photographs and supporting information supplied relate to the EasiHold installation described above.

I confirm that the information I have provided is accurate and relates to the EasiHold installation described above. *

Name

Signature

Date