Hawaii Island Computer Services Request Information

Please provide the following information so we may better serve you!

First Name :

Last Name :

Company :

Address Line 1 :

Address Line 2 :

City :

State :

Zip Code :

Country :

Telephone # :

Fax :

E-Mail :

Website URL :

What are you interested in (check all that apply) :

	Computer Upgrade/Repair
	Website Design
	Website Hosting
	High Speed Internet/Networking
	Webcams, Audio/Video Streaming

Briefly describe the nature of your project or business :


	P.O. Box 1126 Ś Naalehu, HI 96772 Ś info at kautech dotcom Ś http://www.kautech.com