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General Contact Information
Complete this form with no obligation as an estimate. Due to the complexity of web development services, one of our representatives will contact you before any work has begun to discuss your project.

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Subject
Newsletter
Username
Password
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First Name
Last Name
 
Phone
Alt Phone
 
Email
Confirm Email
 
Address
City
 
State
Zip
Country
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Project Information
Timeframe
Project Type
Project Name
Budget
Correspondence
PO# if required
Short Description
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Requested Site Information
Domain
Name Purchase Required?
(check domain name availability via GoDaddy.com)
Username
Password
PW Confirm
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Requested SQL/MySQL Information
DB Type
   
SQL Username
Password
Confirm
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Server and Add Ons
ADD Monthly Setup
Payment Period      
Monthly Quarterly Annually  
1 IP Address (if SSL needed) 1.00 0.00
Additional 80 GB IDE Disk - (for Backups) 29.00 0.00
Block of 5 IP Addresses 15.00 0.00
Block of 10 IP Addresses 8.00 0.00
IDE RAID Level 1 65.00 79.00
RAM Upgrade to 1 GB 44.00 0.00
RAM Upgrade to 512MB 25.00 0.00
Remote Reboot Port 19.00 0.00
SelfServ Backup (our disk & server) 10GB 29.95 0.00
SelfServ Backup (our disk & server) 2GB 17.95 0.00
SelfServ Backup (our disk & server) 5GB 22.95 0.00
Full Service Backup 109.95 0.00
Full Service Monitoring 109.95 0.00
Fully Managed backup & monitoring 159.00 0.00
Stomper Anti-SPAM Service (per domain) 5.00 FREE
Sub Totals
Total First Payment
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