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GHAnet Order Page Please complete this form to place your 'order' for site updating, request to add new features or general instructions to AUSCITY. Your Purchase Order Number: (Optional)   Level of Urgency: (Optional)   You can 'fast track' your order and move it forward in the normal 'jobs to be completed' que if you choose. Make your choice (below) if this is required. Place order in que Action within 72 hrs Action within 48 hrs Action within 24 hrs Action today Action immediately

Your Name:  eg - John Smith:   Your Email:   Your Phone:     Your Organisation Name:   eg - ABC Hospital:   Give your ORDER a 'title':   eg - Upload new picture Page Identification:  Identify the exact page/section requiring updating. eg: http://www.auscity.com/index.php - please don't just enter your 'site' name such as www.auscity.com or we won't know which page to update/amend, etc. Help: Show me a simple way to do this What would you like to have done?: Please be very specific!      File Attachment 1:    File Attachment 2:    File Attachment 3:

Contact details: AUSCITY.COM, 18 Settlers Lane, ILLOWA VIC 3282 Phone: (03) 5565 9355 Fax: (03) 5565 9036 Email: © Copyright AUSCITY.COM - A division of AUSCITY P/L ACN 061 499 938