Data Hosting Services - RFQ Form

Please complete the information below and we will respond within 24 hours. Information provided below will be used to provide you with a formal quote for services and for creation of invoices.

We accept payment via Interac E-Transfer, Cheque, and Paypal. Data Hosting Services deployment may take up to 48 hours after your payment is confirmed.

Your Information:

Company Name *

Your Full Name: *

E-mail:*

Phone Number*

Street or Mailing Address: *

City: *

Province or State: *

Country *

Postal / Zip Code: *

Additional Information

Preferred Delivery Date (e.g. 12/20/2012)

Data Hosting Package:*

Comments / Extra Information:
(e.g. Customization, larger capacity, etc? etc?)

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