Contact Us Page Design

I'm try to create Design a Contact Us page or form. Is it for customer support? A purchase inquiry? To schedule an appointment? Think about a scenario and the most important feature it would require. (As always, it's up to you!)
Hope you like it!
Creative feedback is appreciated!

https://www.behance.net/anupamshaown78
for further details about this project visit my behance profile.
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Thank you