theVillage Circle 
Information Technology Professionals
and Internet Hosting Services
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Please use this form to contat us. Feel free to provide as much information as you wish. Our normal response time is 24 hours or less. Thank you!
 

NOTE: Submitting this form does not constitute a contract or agreement with us. 
All information supplied is kept strictly confidential.
Your Information
Please supply as much information as you feel you need to.
Your Name:
Company:
Address:
Apt / Suite Number:
City:    State:    Zip : 
Country:
e-Mail Address:
Telephone: Please include Area Code
Cell Phone: Please include Area Code
How did you hear
about us?
What is the best way to contact you? 
Please select from the following or describe your needs in the space provided.
Contact me via : Phone -      E-Mail -      Mail - 
Best time : Morning -      Afternoon -      Evening - 
Reason for your Request 
Please select from the following or describe your needs in the space provided.
Hardware Consulting: 
Hardware Upgrades or Repairs: 
Custom Built Systems:
Web Site Hosting or Design:
Other Type of Service:   Describe Below


Other Information
Please provide any additional information that you feel may help us with this request.

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 Thank you for
your request!
Your request will be
processed within 24 hours!
 
Village Circle has been an Information Technology Service Provider for Businesses Since 1982
 
Copyright © 1998 - 2005 Village Circle,  All rights reserved. Unauthorized duplication is a bad thing.