Secure Contact Forms

Recieving Sensitive Information

Gather sensitive information from your customers with our customizable secure forms.

Features

  • Automatic secure database creation upon user submission 
  • Built-in form field validation 
  • Email notice generated when new submission entered 
  • Submissions can be retrieved via our secure server with proper username/password credentials

Example:

Purpose of request:

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By clicking Continue, you will be taken to a website that is not affiliated with the website. Please be advised that you will no longer be subject to, or under the protection of, the privacy and security policies of the website's website. We encourage you to read and evaluate the privacy and security policies of the site you are entering, which may be different than those of the website.

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Unsecure Email Disclosure

Your privacy is very important to us. We would like to advise you that Internet email is not a secure method of communication. Please do not submit any information that you consider confidential. We recommend you do not include any specific identifying information such as your social security, account, PIN numbers, date of birth, etc...

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Affiliate Website Notice

By clicking Continue, you will be taken to our affiliate's website. Products and services offered shown will be provided by our affiliated entity. Some products offered may not be FDIC insured. Please read the privacy and security policies on our affiliate's website. In some instances, these policies may differ from those of the website Group.

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