Houtos; Colocation Provider - New Order Form

Houtos; Colocation Provider - New Order Form

New Order Form

Additional Form Click here ...

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Customer Data

* Please fill all highlighted field and fill with valid value!

Company / Customer Name Company Address Zip Code Phone Ex. 6221 3031 4630 Mobile Ex. 62 812 345 678 Fax Ex. 6221 3031 4630 e-Mail

Billing Data Same value with Customer Data

Contact Person Billing Address Zip Code Phone Ex. 6221 3031 4630 Fax Ex. 6221 3031 4630 e-Mail

Technical Support Data Same value with Customer Data

Contact Person Phone Ex. 6221 3031 4630 Fax Ex. 6221 3031 4630 e-Mail

Data Center Services - Colocation

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Data Center Services - Service Solution

Standart Manage Full Manage Nos

Additional Order

Additional Power Supply
Additional IP
Others

Package Specification

Payment Method

1 Month 3 Months 6 Months 1 Year

Contract Terms

1 Year 2 years

Additional Note

* Please fill all highlighted field and fill with valid value!

* Please choose at least one colocation package!

*) Please print and give initial in this Terms & Conditions. [click here...]