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Web Page Request

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Web Page

Request

This is a standard format for a web page. To get on the web quickly, provide a description of the services you offer for this section. This format provides a form entry to allow prospective clients to contact you about their needs.

If you would like to see what the information you will receive from the form looks like, fill out and send the form and I will forward it to you so you can see the output.

If you want to get started quickly, fill out the form with the text you would like included on your page in the 'Comment' area.

For additional information on how [MY COMPANY] can help YOUR company

Contact: [Your eMail address goes here]

P.O. Address
Tel. 555-555-5555 e-mail [Your eMail address goes here]

To find out how [MY COMPANY] can help your company in the areas of [SERVICES OFFERED].....fill out this form and click on send. We will immediately respond to your needs.

Name           :     

Company Name   :     
Street         :     
Street         :     
City           :     
State          :     
Zip            :     
Telephone      :     
Fax Number     :     
E-Mail Address :     
Comment:     
          Thank you for your input.

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