Web Venues Internet Services, Web Site Registration, Hosting, Consultation, Design, Construction, & Administration

This form can be used for various purposes from requesting information you couldn't find in our Web Pages, supplying us with information for your Web Site, or to request a consultation or service.

If you would like more information about our services, have special needs, or have questions about something not addressed in our web pages. Please fill out all pertinent information and send this form to us using the "Submit Button" at the bottom of this page.

If you wish to set up a phone consultation with us, please take the time to fill out the information blanks pertaining to the services you are interested in. This will assist us in determining some or your needs prior to the phone consultation, which will make it more productive for both of us.

Please be assured that information gathered on this form is only used for the above stated purpose. If you elect to use our services it is kept in your file, if not it is destroyed.

    We thank you for your interest in our services.
Alan Miller, Owner: Web Venues Internet Services^™

Your Name:

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Daytime Phone:  Area Code, Number, Extension

Evening Phone:  Area Code, Number, Extension

How did you find us?

If there was an asterisk (*) next to your selection. Please elaborate here. Thank You!

The best way to contact me is by:

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Additional Information Requested For Web Site Design Estimates and Consultations

Business or Organization Name

I'm Requesting Information Or Consultation On The Following:

Additional:

Domain Name(s) Desired
26 Characters Max, Include Alternates, The One Wanted May NOT Be Available

Domain #1:
Domain #2:
Domain #3:
Domain #4:
Domain #5:
Domain #6:
Domain #7:
Domain #8:
Domain #9:
Domain #10:
    To register additional domain names, either submit this form multiple times, or type the information into the "Comments Box" below. Don't forget to submit payment or we won't be able to register these domains for you. Web Venues Internet Services^™
*    Must be able to prove that your facility is an accredited educational facility.
**    Other "Top Level Domain Extensions" incur additional costs, and may not be available to all parties.

Other Info To Assist Us With Your Web Site Design
    For consultations on "New" Web Sites, please give us a short overview of your businesses or organizations product or service, and a short description of what you want this Web Site to do for that entity.
    For consultations on Existing Web Sites, please describe your areas of concern on your web site, tell us what's not working for you, and what you feel needs to be done to correct the problem.

Additional Comments Or Questions You May Have
    Use this area for comments, additional information, special requests, or any questions you may have that weren't answered in our web pages. Thank You!

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Web Site & Contents © Web Venues Internet Services™ and Alan Miller 1997-2005
Web Venues Internet Services™ - P.O. Box 426 - Murphy, Oregon 97533
Phone: 1-503-542-7479 - Office Hours: 1000 - 1900 Hours Pacific Time
Web Site Created: 7 March 1997. Last Update: 2 August 2005 @ 1343 Hours Pacific Time.

Conditional use of web site elements or coding, by other parties may be obtained by written request to address or e-mail address above. Please describe how this Copyrighted material will be used. Legal action will be taken against those who use material from this, or other sites designed, constructed, maintained, or administered, by Web Venues Internet Services™, without prior written permission.