Dribbble Concept iPhone App

This is concept design for Login/sign-up/help screens where I had taken Dribbble as use-case.

Previously I had experienced a frustrating problem with Google AdSense Login page where I tried to access my AdSense account via authentic credentials but repeatedly it was denying me access.

I thought that time, what if ? they had provided a contact form where I could write a short note and they respond to my problem.

The problem I face gave me an idea why not to design the concept and share it with wider audience and let they comment on this.

There should be mandatory contact form with every login forms besides forgot your password link. If this glitch happened with Google, it can happen with any one.

I think this contact form won't serve as a door to only submit problem statements, but shall give users a chance to communicate with the owner/company for what ever they like.

Let me know what do you think.