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Web Hosting Order Form

Company Information
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E-mail Address*:
Vhost Information
Domain Name*:
If an alias, of what domain:
Note: If an alias, no need to fill out any further information...
Admin Password:
FTP Password:
Note: If you do not include a password, we will generate one for you...
Plan Required:
Additional Storage:
ColdFusion: yes no
ASP: yes no
PHP: yes no
Anonymous FTP: yes no
Streaming Media: yes no
Secure Server: yes no
Net Merchant: yes no
SQL: yes no
Web-to-Fax: yes no
Usage Report:
E-Mail Information
If you need more mailboxes than come standard with your plan,
please order the extras here...
Additional Mailboxes:
ListServ Lists:
Premium spam removal service: yes no
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ICG Link, Inc. 7003 Chadwick Drive, Suite 111, Brentwood, TN 37027