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Internet Site Feedback Form

This form is here to help Computer HomeHelp help you.

It also provides you with a means to contact us for more information, we would also be pleased to hear any ideas or suggestions as to how we may be able to improve our service to you..............

Would you please provide the following contact information:

      First name  
       Last name 
           Title 
      Home Phone 
          E-mail

What Information would you like?
- Home User Email/WWW Support Service
- Internet access and Home user WWW page
- Home User Telephone Support Service
- Home User On Site Support Service
- All of the above services
Please Indicate what type of Computer System you have .....
- 486 Type (non Multimedia)
  486 Type (Multimedia)
  Pentium Type (non-Multimedia)
  Pentium Type (Multimedia)
Please enter additional requirements here:

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Questions or problems regarding this web site should be directed to [email protected].
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