Fill Us In                             Step 1 of 1

This is a way of quickly contacting us about helping you with ...

Your COMPUTER.  Your NETWORK.  Your INTERNET.  Or in case of emergency.

Please provide the following information:

Click what we need to help you with ...

[NOTE: in this scrolling list, you can click more than one item by holding down the control key when you click your selections. Keep holding the control key down until you have made all your selections. Then click outside the scrolling list box and proceed to the next section. Optionally, you can click a range of items in the scrolling list by holding down the shift key while clicking the first item and then the last item.  Optionally, you can mix the control key and shift key clicks.] 

[Bonus -- this method works in many places on your computer.]

Choose one of the following options you wish to use for our primary means of contact.



Please provide your relevant contact information:

*              Name
Street Address
Address (cont.)
Zip/Postal Code
Work Phone
Home Phone
*             E-mail

We accept the following to pay for our services.

There is no obligation and nothing is charged by submitting this form. In fact, at this point you are probably done with this form.  You might want to review it. Go over it once, just to make sure. Then click the Submit button below.

Based on your information above, we will contact you with regard to how we might be able to help you out.  Now click the Submit button below.


This form is not shared with anyone besides us and the information exchanged is considered confidential between us.
Copyright 2005 connectthem. All rights reserved.
Revised: 10/21/06