NBS Information Request Form


For further information about Network Business Services, or, to make any specific request, please fill out the Response Form below.

As this form is not secured, don't include sensitive information such as Credit Card Numbers. If you want us to have these, we will contact you by phone or fax and obtain them that way. 

To:         
Subject:    

Name:       
E-mail Addr:
Company:    
Address:    
Address:    
Address:    
City:        State:  Postal: 
Country:    
Work Phone: 
Work Fax:   
Home Phone: 


Comments, Requests:



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Last Update: 22/10/98

Web Author: Geoff May & Ross Kellaway

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