Send Us Your Valuable feedback



Which Product you are using?

Excellent  Good  Average  Poor 

Excellent  Good  Average  Poor 

Excellent  Good  Average  Poor 

Excellent  Good  Average  Poor 

Excellent  Good  Average  Poor 

Very Satisfied  Satisfied 
Rating:

Name: *
E-mail: *
Mobile No: *
Any Suggestions: *
 Please feel free to get in touch, we value your feedback


Organization Details
Buyer's Name
(Organization/Individuals): *		 Address: *
Location: * Landmark: *
City: * State: *
Zip Code: * Country: *
Phone1: Phone2:
Mobile1: * Mobile2:
E-mail1: * E-mail2:

Contact Details

Contact Person
 
Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 646 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 646 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 646




 
Chief/Head of the Organization      
 
Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 686 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 686 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 686

License Details

Product Name: * Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 709 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 709 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 709 Serial No: *
Release: * TNS Expiry Date:

Sales / Service Details

Category (Service Type): * Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 738 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 738 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 738 Problem Type: * Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 752 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 752 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 752
Problem Description (Title): * Plan Type: Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 771 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 771 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 771
Severity: Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 787 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 787 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 787 Service Type: * Deprecated: mysql_query(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 800 Warning: mysql_query(): No such file or directory in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 800 Warning: mysql_query(): A link to the server could not be established in /storage/content/93/1009193/brillianttechnologies.net/public_html/wd/contact_Service_Request.php on line 800
No Of Systems: *

How many computers are installed in your location where Product has been activated?
How many full-time employees work at the location where Product has been activated?
The person whom you contacted in Brilliant technologies
Description / Requirement:

[Click on image to refresh]

Captcha image

Enter the code here: