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Work Request

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Your Name *

Company

Task Type

Bug Fix
Feature request
Website Edit
Other

Name of task *

Description of task

Website / URL

Multiple Choice

Urgent, needed right away
Not urgent, but will be nice
Just an inquiry

Deadline if applicable

Date

Time

Other notes

File Upload 1

Please attach any relevant files such as images screenshots etc.

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File Upload 2 Choose File No file chosen

File Upload 3

If you have more than 3 files, please fill out another form. Thanks.

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