Dedicated Order Form

Company Name	* Required Information To Process Application
Address
City
State/Province
Country*
Phone Number*	We Will Call to Verify!
Last Name*
First Name*
Email*
Service	- Pick One - Intel Q6600 2.4 GHZ quad core Unamanaged $459 Intel Q6600 2.4 GHZ quad core managed $499 Pentuim Dual Core Un-managed $99 Pentuim Dual Core Managed $119 Dual Xeon 3.06 GHZ 4 GB ram 2X 73 Gig HD Un-managed $199 Dual Xeon 3.06 GHZ 4 GB ram 2X 73 Gig HD Managed $229 Pentuim 4 2.4 GHZ Un-managed $69
Control Panel	- Pick One - Direct Admin No Control Panel Webmin
Operating System	- Pick One - Centos 4.X Centos 5 Centos 5 64 Bit FreeBSD 7.X Fedora Core 10
Payment Method	- Pick One - Check / Money order Credit Card Paypal Epassporte