Fluent Forms Template Library

Callback Form Template

Collect callback requests with contact details and preferred time so your team can respond quickly.

Callback Form

Callback Form (#180)

Request a Call Back

About this template...

A Callback Form is designed to help businesses collect callback requests in a clear and organized way. This template allows users to share their contact details, specify the reason for the callback, and choose a preferred date and time so your team can respond efficiently.

Using Fluent Forms, you can structure the form with custom HTML for headers or instructions, followed by fields for name, email, phone number, and simple text inputs for subject or reference. Dropdown and radio fields help categorize the callback request, while the text area lets users provide additional context. The date and time fields allow users to select their availability, and the one-column container keeps the layout clean and focused. A custom submit button lets you tailor the call-to-action to match your brand.

All submissions are stored in one place, making it easy for your team to manage callback requests, prioritize responses, and maintain clear communication.

Callback Form

Features of this Template

  • Custom HTML blocks allow you to add headers, instructions, or explanatory content
  • Name, email, and phone fields collect essential contact details for callbacks
  • Simple text field captures the subject or purpose of the callback
  • Textarea provides space for users to explain their request in detail
  • Dropdown and radio fields help categorize callback type or priority
  • Date and time fields let users choose their preferred callback schedule
  • One-column container keeps the form focused and easy to complete
  • Custom submit button allows branded call-to-action text
  • Mobile-responsive design ensures users can request callbacks from any device