UMS/NCC Customer Contact Form
Mark date of customer contact:
(Required)
MM slash DD slash YYYY
UMS answer
First Name
(Required)
Customer answer
Last Name
(Required)
Customer answer
Order Number
(Required)
Customer answer - It can be found it in the app on the Confirmation Page or under Recent Orders
What is your preferred method of communication?
(Required)
Select option
Email
Phone
Customer answer
Email (Required if preferred method)
Customer email.
Phone Number (Required if preferred method)
Customer phone number
Date of delivery
(Required)
MM slash DD slash YYYY
Customer answer
Time of delivery
Hours
:
Minutes
AM
PM
AM/PM
Customer answer
Store Address
(Required)
UMS answer
What is your QuickChek Rewards # if you have one?
Customer answer
What can we help you with today?
(Required)
Select option
Nutrition Information
Damaged or Expired
Food Safety
Overall Taste
Other
Charge concern/question
Order Accuracy
Program compliment, complain, suggestion
System outage
Password Change
Website issue
Sign up help
General App
Did not receive rewards
Reward item out of stock
Stolen rewards
Expired rewards
Did not enter rewards number
Closing customer account
Change customer profile information
Request copy of transaction receipt
General question
Can you briefly describe the issue?
(Required)
Customer answer
