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runcontent.net
Extended Contact/Request Form

The Contact/Request Form feature allows you to collect the exact information that you are looking for from the web site visitor. 
Items In Bold Required
First Name
Last Name
Email
Organization
Position
Address
City
State
Zip Code
Web Address
Home Phone
Work Phone
Mobile
Fax
Please tell us about how we can serve you.
What hosting service are you interested in? (mulitple options, single select)
Email only
FTP Access
Managed (RunContent)
Custom (RunShop)
Unsure
What is the status of your current web site? (mutiple options, multiple select)
No web site
Existing web site
Need graphics update
Need functional update
Tell us about your areas of Interests
Comments
Testing
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RunContent.net
info@runspot.net | 763-551-2510
12133 Norway Street NW
Coon Rapids, MN 55448