'CONTACT FORM' ORDER FORM

If you would like a 'contact form' on your website, simply fill out this online form.  

Important Notice About Credit Cards:  A common request is that a field for credit card numbers is included for off-line credit card processing.  Although this is technically possible, this method of transferring credit card numbers through the internet is generally considered insecure.  As a responsible company, U-Turn will not carry out such a request.  If you're interested in accepting credit cards online, click here.

  

Your Name 



Name of Business 



Your email



Phone Number 
(including area code)



Postal Address



Website Address



Is your website currently hosted with U-Turn Internet?

Yes  No



What is the exact url of the page you would like the contact form on?
(if known) 



Do you want a simple email contact form, or a detailed contact form?
(a simple contact form contains fields for name, email, subject and question)

Simple  Detailed



(If 'detailed') Approximately how many questions are you likely to require in your form?



Do you require more than one form?

Yes  No



Questions or comments




Once you click submit, we will get back to you via email as soon as possible and give you an approximate quote.