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Your Contact Information
First Name *
Last Name *
Job Title *
Email *
Phone *
Company Information
Company Name *
Website *
City *
State / Province *
Country *
Current Provider
Do you currently have a Data Center provider?
Please select . . .
Yes
No
Current primary provider and data center location:
Approximately when does your current contract expire/renew?
Requirements
How quickly do you require service?
Please select . . .
Immediate
30 to 60 days
60 to 90 days
3 to 6 Months
Within 1 year
What provider services are you looking for?
(check all that apply)
Colocation
Managed Colocation
Fully Managed Hosting
Enterprise Cloud Hosting
Business Continuity
Data center location preferences?
(please list all preferred regional locations, include city, state, country)
Estimated bandwidth?
Please select . . .
1 Mbps
3 Mbps
5 Mbps
10 Mbps
15 Mbps
20 Mbps
30 Mbps
40 Mbps
50 Mbps
100 Mbps
150 Mbps
250 Mbps
500 Mbps or Greater
Cross-connect type?
Please select . . .
Fast Ethernet (Primary)
Fast Ethernet (Primary & Shadow)
Gig Ethernet (Primary)
Gig Ethernet (Primary & Shadow)
Fiber Multi-Mode (Primary)
Fiber Multi-Mode (Primary & Shadow)
IP address requirements?
Please select . . .
/29 Network - 5 IPs
/28 Network - 13 IPs
/27 Network - 29 IPs
/26 Network - 61 IPs
/25 Network - 125 IPs
/24 Network - 250 IPs
/23 Network - 500 IPs
Portable Range or Provide Own IPs
DNS?
Please select . . .
1 - DNS
2 - DNS
5 - DNS Entries
10 - DNS Entries
20 - DNS Entries
50 - DNS Entries
100 - DNS Entries
Over 100 DNS Entries
How many cabinets?
(includes 2x20 Amp 110V - 16Amps usable)
Please select . . .
1 Cabinet
2 Cabinets
3 Cabinets
4 Cabinets
5 Cabinets
6 Cabinets
7 Cabinets
8 Cabinets
9 Cabinets
10 Cabinets or More
Custom cage or private suite?
(includes cabinets with 2x20 Amp 110V - 16Amps usable)
Please select . . .
3 Cabinets
4 Cabinets
5 Cabinets
6 Cabinets
7 Cabinets
8 Cabinets
9 Cabinets
10 Cabinets or More
Please list any additional power needs per cabinet?
(
i.e.
2 cabs - 4x20 Amp 110V, 3 cabs - 2x30 Amp 110V)
How much growth do you anticipate over the next year?
Please select . . .
0 - 25%
25% - 50%
50% - 100%
100% - 150%
150% - 200%
200% - 500%
Greater than 500%
Do you have any additional requirements?
(check all that apply)
Load Balancing
Remote Monitoring
Managed Router Services
Managed Security
Managed Storage Services
How did you hear about us?
Questions or comments:
