Guest Contact

"*" indicates required fields

Name*

First Name Last Name

Email*

Hidden

Address

Fill 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 Zip

Hidden

Email 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.

Text

Call

Phone*

Subject*

With...*

Select Options That Apply

With...*

Select Options That Apply

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 Please know that any gift card that is attempted to be used after 12/31/2020 is no longer active and is not valid for reimbursements.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

City

Restaurant
Please select a state and city.

Restaurant

Employee Name If Needed or Known

Date of Occurrence*

Time of Occurrence*

Seeking Refund

I am seeking a refund.

Receipt Number*

Message

Name

This field is for validation purposes and should be left unchanged.