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Complete the following information and COMMplus will prepare an estimate:

Use the TAB key to move from field to field.

Brief description of your proposed WEB site:

How many pages? one two three four five six seven or more

Will you want graphics? Yes No (If yes, will you provide? Yes No)

Will you want Java applets (animation)? Yes No Not Sure

Are you planning on using image maps? Yes No Not Sure

Do you already have a service provider? Yes No (If no, would you like COMMplus to provide a place for your WEB pages? Yes No)

How do you wish to be contacted? Phone Fax E-mail Surface Mail

Name:

Company:

Street:

City: Prov/State: Country:

Postal code:

E-mail address:

Click here when you are finished with information input.

Click here when you wish to clear the form.

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webmaster@commplus.net