Request for Assistance

SECTION A -- Distance Consultancy by E-mail, Phone, Fax, etc.

1. State here the scope and nature of the assistance you require, providing as much detail as possible:
   
   
   
   
2. Indicate here your own assessment of the number of consultancy hours required to complete the work:
   
   1-5 hours 5-10 hours 10-20 hours More than 20 hours

SECTION B -- On-site Trouble-shooting Assignment

1. State here the scope and nature of the assistance you require, providing as much detail as possible:
   
   
   
   
2. Indicate here your own assessment of the number of consultancy days required to complete the work:
   
   1-5 days 5-10 days 10-20 days More than 20 days

SECTION C -- Long-term Involvement

1. State here the scope and nature of the assistance you require providing as much detail as possible:
   
   
   
   
2. Indicate here your own assessment of the number of months required to complete the work:
   
   1-5 months 5-10 months 10-20 months More than 20 months

SECTION D -- Contact Information and Submission Form

Please supply your name and contact information below:

		Name     
		Position 
		Company  
		Street   
		City     
		Country  
		Postcode  
	      	Phone    
	      	Fax	  

FORM SUBMISSION

Thank you for taking the time to fill in this form.

We will confirm your request shortly, followed by the submission of an outline proposal and a budget quotation.