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Client Web Change Request
Name
(Required)
First
Last
Company Name
(Required)
Web Link
(Required)
Phone
Email
(Required)
Website Change Information
Date
MM slash DD slash YYYY
URL of Page
(Required)
Please provide the web page link to the change(s) you need completed.
What is the priority level on this revision?
Low (within a week)
Medium (within 72 hours)
Urgent (within 24 hours) - $45 rush fee added
Change Request Details
(Required)
What type of Web Maintenance Plan do you have?
Do you need an estimate before the above changes are completed? Requesting this may delay the turnaround time.
Attachments
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Max. file size: 16 MB.
Please upload any documents needed for your change.
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