Please fill out our form and we will gladly respond to your request.

* Required fields
*First Name:
*Last Name:
Title:
*Company:
Address:
City: State: Zip:
Country:
*Phone:
Fax:
*Email:
Please describe your business needs:
How would you like us to communicate with you?
Email Telephone Fax
Which Services are of interest to your business? (select one or more)
Corporate Image and Brand Marketing Internet Consulting
Business Strategies and Planning Internet Advertising
List Acquisition Web Design and Development
Telemarketing Web Application Development
Fax, Voice and Email Broadcast E-Commerce
Technology Assesment Customer Relationship Management (CRM)
Additional Comments or Questions?
*How did you hear about us?
REFERRAL (please specify)
TRADE SHOW
ADVERTISEMENT
INTERNET SEARCH (please specify)
"Submit" will send us your inquiry.
We look forward to serving your needs.

     


Call us @ 1.800.US.AMFAX


© 2001 USAmfax Corporation
161 Maiden Lane : New York, NY 10038 : Phone: 800-872-6329 : Fax: 212-480-0399 : Web site: http://www.usamfax.com : E-mail: information@usamfax.com