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Web Hosting Order Form

Company Information
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Name*:
E-mail Address*:
Company*:
Address:
Address2:
City:
State:
Zip:
Phone*:
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
Check if you have your own MX:

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If you have any problems,
please contact support

or call 615 370-1530

 

ICG Link, Inc. 7003 Chadwick Drive, Suite 111, Brentwood, TN 37027