Contact form for Tech support

We come across system glitches all the time! But do we ever get the support we need as easily?
Design is for a contact us form, where the technical support agent would reach out to the customer to help fix an issue. To provide the best service, the customer is informed time until the agent will be calling them.

Credits to: Gregor Cresnar for iconography

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How would you feel using such system?
Appreciate your comments.