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Orders and requests

Sample request

Offer samples, a catalogue or a price list by post. Free to use with FillKite.

Live demo

Sample request

Fill it in and press the button to see how it behaves. Nothing you type is saved or sent.

Test mode: you can try this form, but nothing you send is saved or passed on.

Your name
What should we send? (required)
Where should we send it?

What is in this form

  • Your name (required)
  • Email (required)
  • Company
  • What should we send? (required)
  • Where should we send it? (required)

Use it on your site

  1. Install FillKite free from WordPress.org.
  2. Download this form with the button above.
  3. Go to FillKite → Import → From a FillKite file, choose the file and import it.

Questions

About this form

Is the sample request form free?

Yes. It works with the free FillKite plugin, and you can download it and change it as you like.

Is anything I type saved?

No. This demo runs in test mode: FillKite checks your answers like a real form, but nothing is saved and no email is sent.

How do I use this form on my site?

Install FillKite, download the form with the button on this page, then go to FillKite → Import → From a FillKite file and choose the file. After importing, open it in the builder, change anything you like and add it to a page.

What fields does it have?

It has 5 fields: Your name, Email, Company, What should we send?, Where should we send it?.

More orders and requests forms

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Product inquiry

Which product, how many, and a question.

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Return or refund request

Conditional logic. Order number, reason and what you want. A details box appears only for "Other".

Try this form

Custom order request

A description, a size, a budget slider and a deadline for made-to-order products.

Try this form

Free on WordPress.org

Build your first form in minutes.

Install FillKite free, import this form, and change it to fit your site.