This is the form for all Jack's Web Design customers who need stuff changed, updated or have additional pages they want to have added to their existing web site. I will respond to all comments from this form within 24 hours.
Your Name (required):
 
Your Email (required):
Contact Telephone:
Your Web Site:
Page That Needs Update:
Describe what needs
to be updated:
   
Additional Page Needing Update:
Describe what needs
to be updated:
Please check all
that apply:
I also have images I want to add
I also want to add additional pages
I have PDF documents I want to add
Any Additional Comments:
Enter the four red letters (required):
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