Html feedback or hiring form

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What kind of comment would you like to send or is it to hire me?

Complaint Problem Suggestion Praise Hiring

What about us do you want to comment on?

Other:

Enter your comments or a job that you want me to do in the space provided below (include the file descriptions you are going to upload in the second form on this page and what they are intended for.):

Tell us how to get in touch with you:

Name     
E-mail   
Tel      
FAX

Please contact me as soon as possible regarding this matter.

To upload any files that maybe pertinent to the job that you want done use this form below. I would suggest putting them into a zip file with your name on it:

To upload any files that maybe pertinent to the job that you want done use this form below. I would suggest putting them into a zip file with your name on it:

What materials such as what pictures and other files do you want to include if any for the job?