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Web Hosting Special Order Form
*  Mandatory Fields :
SECTION 1 OF 5
USER INFORMATION
* Full Name:
* Business Name:
* Address:
* City:
* Province:
* Postal Code:
* Telephone Number:
*  Fax Number:
* Email Address:
   
SECTION 2 OF 4
ACCOUNT INFORMATION
* Domain to be hosted:
* Is this domain Registered to you: Yes No
E-Mail Account Information : (Please specify up to five extra @yourdomain email accounts. )
Account One: @yourdomain.ca/com/net/org.
Password: (minimum five characters)  
 
Account Two: @yourdomain.ca/com/net/org.
Password: (minimum five characters)  
 
Account Three: @yourdomain.ca/com/net/org.
Password: (minimum five characters)  
 
Account Four: @yourdomain.ca/com/net/org.
Password: (minimum five characters)  
 
Account Five: @yourdomain.ca/com/net/org.
Password  
(minimum five characters)
   
SECTION 3 OF 5
HOSTING PACKAGE SELECTION
724 Networks Inc. - Web Hosting package details can be found at www.724Networks.com/hostingpackages.asp
* Select Hosting Package:
   
SECTION 4 OF 5
OPERATING SYSTEM & OPTIONS SELECTION
* Select your Operating System and Options: Windows2000
Linux
FreeBSD
DNS Hosting
   
SECTION 5 OF 5
ADDITIONAL FEATURES SELECTION
*Select all of that apply: Domain Pointers $5.00 per month / per pointer
Extra E-mail Accounts - $10.00 / 5 / month (not available for all accounts)
WebMail - $25.00 one time setup charge
Additional Information:
• Network Services
  • Architecture and Design
  • Installation and Configuration
  • Support and Maintenance
  • Consulting
• Web Services
  • Website Design
  • Website Maintenance
  • Website Hosting
  • Web Content Management
  • Graphic Design
• IT Consulting
  IT Project Management
• Other IT Services
  • Virus Cleaning Services
  • Database Design and Maintenance
  • Custom Programming
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