WebHosting Request – Pixelgate Networks

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Selected Cloud Hosting Plan

Control Panel

Note: Unless you are familiar with linux servers and/or selecting Managed Services (MRU), where we can help you, we highly recommend a Panel. Panels only be installed on new, fresh instances. They can NOT be added to an existing environment.

Managed Services (MRU)

Archived Daily VM Disk Image Backups

Note: GB Size is determined by the combined total of VM disk images associated with a live instance. Backups are available to Customer on customer prompt. Image Backups may also be automatically uploaded offsite, such as Amazon S3 or your office via special arrangement.

Selected Hosting Plan

Email Service

Yes. I need both SMTP and IMAP email for this domain (included)
No. I already have email service elsewhere and want to save $1-$10/month depending upon my hosting package

If you do not need email for this account, you can get the Bring Your Own Email discount. Note you can still send email from your website forms via SMTP

Please provide us with the Domain Name you will be Hosting

Domain Name

Billing Information

Company

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number

Fax Phone

Email Address

Referral Information

Referred By

Referrer's Email

Setup Information

Initial User ID

Note: 6-16 characters. Use lowercase letter and numbers

Initial Password

Note: 6-16 characters. It is case sensitive, needs to mix case, numbers and special characters and may be changed later

Special Instructions

Please review the Terms and Conditions for the Pixelgate service. BY PRESSING “I ACCEPT” I agree that I have reviewed and accept the Terms and Conditions and understand that my use of the service will be subject to the Terms and Conditions. Your Credit Card will be charged for the 1st months service plus any setup charges that apply.