Work Request

Internet Connections customers can use this form to request updates/changes to their web site.

Each change request is sent to our contact team and will be verified with our official contact person before any changes are made to the web site.

Required Information

Information in this section is required so that we can respond.

Name*

First Last

Organization or Company*

Phone*

Email address*

What site or page needs the change?

Copy and paste the address of the website or specific page here.

Website address

Include the "http://" -- e.g. http://www.internet-connections.net -- copy and paste from the Location/Address bar of your browser.

Request Description

Describe the update you'd like made to your site.

Estimate needed?

I'd like a time/cost estimate.
If under 2 hours, proceed (no estimate) and bill.

Timeframe

By a specific date (please indicate that date in the Request Description above)
ASAP (same / next day service may incur additional cost)
No rush (anytime in the next 5 working days is fine)

By clicking on the Submit button below, I am stating that I am a representative of the organization named above, with the authority to make changes to the web site and to commit to contracts for payment. I understand that any work requested will be billed for or the time will be charged against the organization's existing retainer or service contract.

Phone

This field is for validation purposes and should be left unchanged.

Required Information

What site or page needs the change?

Contact

Thank you!