| |
|
| Salutation:
(e.g. Mr., Ms., Mme.): |
|
| Contact
Name:* |
|
| Job
Title:* |
|
| Company
Name:* |
|
| Address: |
|
| City: |
|
| State/Province: |
|
| Zip/Postal
Code: |
|
| Country: |
|
| Tel.
No.:* |
|
| Extension: |
|
| Email
address:* |
|
| Industry: |
|
| Where
did you hear about us: |
|
| Desired
Web Hosting : |
Shared (Websites/General)
Managed
Dedicated
Dedicated & Managed |
| Data
Security : |
Normal
High
Ultra |
| Domain
Name : |
Search and Register
Hosting |
Performace
Capacity :
(Hits/Month) |
|
| Database
Server (Type) : |
|
| Secure
Server : |
SSL |
| Secure
Support Management |
Authentication required for
database, application, and page management |
| Platform
: |
Unix
Windows 2000 |
| Email
Boxes/Accounts Required : |
|
| Hard
Disk Space (MB) Required : |
|
| Application
Server : |
PHP
ASP
Cold Fusion |
|
Data Source
: |
ODBC |
| Database
(Microsoft) : |
MS SQL 2000
Access |
| Database
(Unix/Linux) : |
MySQL
PostgreeSQL |
| Backup
: |
eBackup Service, Tape
Backup |
| System
Monitoring and Alerts : |
Yes (What's Up, Watch Dog) |
| Traffic
: |
Online Satistics ($20 setup)
Webtrends |
| Firewall
Service : |
Yes
No |
| Audio/Video
Streaming : |
Yes
No |
| News
Feed : |
Yes
No |
| Custom
CGI : |
Yes
No |
| Mailing
Lists : |
|
| Comments: |
|
|
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| |
