REQUEST FOR INFO (WEB/EMAIL HOSTING)
Company / Organization     
Comapny Address      
Postal Code      
Country     
Office No      
Fax No      
Contact person      
Mobile No      
Email      
Website      

 (If you have any)
Do you own a web space or web server with any hosting company? Yes
No
Other (please specify):
Do you have an existing domain name? Yes
No
Please apply new domain for me
Which kind of business you intend to use it for? Personal
Business
Other (please specify):
What type of hosting services are you looking for? (check all that apply)* Web Hosting only
Email Hosting only
Web & Email Hosting
Other (please specify):
Approximately how much space do you required?* 15MB
50 - 100MB
200 - 500MB
1 - 2GB
> 2GB
What is your total estimated budget for web/email hosting per year?*
Who will do your site maintenance?   In-house, your company
yourself
Not sure
Please describe the intended use of this hosting services and any additional requirements you may have (e.g. advanced features needed such as third party application, database, etc).*

 
Inform me for promotions & special offers? YES
NO
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