Guest Contact "*" indicates required fields Name* First Name Last Name Email* HiddenAddressFill in your mailing address if you would like a one-time free offer of 2 Krystals and a Small Fry for your feedback. Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip HiddenEmail Opt In I would like to receive marketing emails from Krystal How would you like to be contacted?* No contact needed, just wanted to leave feedback. Email Text Call Phone*Subject* Unpleasant ExperienceAwesome ExperienceCatering EventsWith...*Select Options That Apply Charged Incorrectly Facilities/Hours/Cleanliness Food Portion Food Quality Food Temperature Krystal Employee Behavior Marketing Campaign Mobile App New Food Offering Online Ordering Order Accuracy Speed of Service With...*Select Options That Apply Facilities/Hours/Cleanliness Food Portion Food Quality Food Temperature Krystal Employee Behavior Marketing Campaign Mobile App New Food Offering Online Ordering Order Accuracy Speed of Service With...*Select Options that Apply Wedding Corporate Party Other We regret to inform you that our Krystal Gift card program has been discontinued and we apologize for any inconvenience. If you have already submitted for reimbursement by 12/31/2020, your request is currently being processed for reimbursement. Please know that any gift card that is attempted to be used after 12/31/2020 is no longer active and is not valid for reimbursements. Please continue filling out this form if you have any further questions regarding this program. Order Number: If you need a refund, please enter your order number here Choose restaurant address on your receipt * State Choose state... {{ state }} City Choose city... {{ city }} Restaurant Please select a state and city. Restaurant Choose restaurant address on your receipt {{ r.store }} | {{ r.address }} {{ r.city }}, {{ r.state }} {{ r.zip }} Employee Name If Needed or Known Date of Occurrence* MM slash DD slash YYYY Time of Occurrence* Hours : Minutes AM PM AM/PM Seeking Refund I am seeking a refund. Receipt Number* MessageNameThis field is for validation purposes and should be left unchanged.