You can save this to a file, fill it in, then send to Rich via e-mail, fax, USPS.
<pre>
Request for Custom Software and Consulting Task

Name:

Company:

Address:

Telephone:

FAX:

E-Mail:

Description of Work Desired:

Time frame:

Method of Payment ( Credit cards not accepted ):
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Note: Rates are $ 15 per hour for custom software design and $ 30 per hour for safety consulting, plus expenses such as travel ( $.30 per mile, airline ticket cost, lodging )