WPCloudForm Cloud WP VM Setup Request HiddenPagewpcloudformSelected WP Cloud Hosting PlanStandard (Small) VM Package – $24.95Medium VM Package – $39.95/moLarge VM Pacakge – $79.95/moX-Large VM Package – $129.95/moControl Panel— Choose a control panel option —No, I will provide my own or use (s)ftp/sshPixelGate Website Panel for Websites/Databases – no costPixelGate Full Hosting Panel (add imap/pop3/dns support) – no costPlesk Control Panel 10 domains – $9.95/moPlesk Control Panel 30 domains $14.95/moNote: 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)— Choose a service option —No, I will monitor it and update it myselfCourtesy Updates and Monitoring (no charge)Monitor, Respond, Update and Backup Server Support – $65.00/monthArchived Daily VM Disk Image Backups— Choose a service option —Courtesy – at least Weekly (included)Daily Disk Backups – 3 day retention – $5/mo per 60GBDaily Disk Backups – 7 day retention – $9/mo per 60GBDaily Disk Backups – 14 day retention – $15/mo per 60GBDaily Disk Backups – 30 day retention – $29/mo per 60GBNote: 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 PlanEconomy Monthly Hosting – $6.95/moEconomy Annual Hosting – $69.50Economy Email/Static – $5.95Economy Email/Static Annual – $59.50Standard Monthly Hosting – $9.95/moStandard Annual Hosting – $99.50Pro Monthly Hosting – $15.95/moPro Annual Hosting – $159.50Business Monthly Hosting – $25.95/moBusiness Annual Hosting – $259.50Email 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 SMTPPlease provide us with the Domain Name you will be HostingDomain Name Billing InformationCompany Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone NumberFax PhoneEmail Address Referral InformationReferred By Referrer's Email Setup InformationInitial User ID Note: 6-16 characters. Use lowercase letter and numbersInitial Password Note: 6-16 characters. It is case sensitive, needs to mix case, numbers and special characters and may be changed laterSpecial InstructionsPlease 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.