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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