Service Request – ASITE4U

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Request changes/additions to website

First Name

Last Name

Phone

Would you like to edit or create a new page?*

Email Address

Your Website

Are you paying a monthly subscription?*

Yes

You will be quoted & invoiced for any work that is undertaken

if you do not have an active subscription

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Page Url or name of page to be edited

Copy the address of the page you wish to edit (e.g. http://www.yourwebsite.co.uk/mypage.html

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Enter text to be changed here*

Write the changes you wish to make and any special instructions

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File or image upload

Drag 'n Drop files here

Max file size: 3.81 MB. | Allowed file types: gif,jpeg,png,jpg,doc,docx,pdf,pub,ppt

Select files

Page Name

Give your page a name

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Special instructions for page creation*

Write any special instructions you require for this page

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Webpage Text

Upload images or files

Drag 'n Drop files here

Max file size: 3.81 MB. | Allowed file types: gif,jpeg,png,jpg,doc,docx,pdf,pub,ppt

Select files

6 plus 1 equals?*

Prove you are a human

Write here

Your details have been accepted

Thank you for filling out the request form
We have received your details and aim to respond within 24 hrs

You will be notified by email upon completion of the work specified in the request form

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