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    CyberConsultant
    Information Request Form

    If you need assistance with your online publishing venture and would like to use our CyberConsultant e-mail consulting service, please complete and submit this form. We also ask that you mail a copy of your print newspaper to: Cyber Weekly Consulting, RD 1, Box 215, Ocean View, DE 19970.

    * Submission of this form implies no obligation on your part. Your information will not be resold, shared or used for any purpose other than to evaluate your company's online publishing potential and our ability to assist you through our CyberConsultant service.

    Parent Company

    Newspaper   Circulation

    Name / Title 

    Address

    City   State   Zip

    E-Mail (Important)

    Phone   Fax

    1. Does your paper currently have a web site?:

    Yes  No

    1a. If Yes, please list the URL here: 

    1b. If No, when do you plan to launch your site? 

    3. Please describe your goals for your online publishing business:


    4. Please enter additional comments pertinent to your online publishing business:




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