| CONFIGURE
YOUR
DEDICATED SERVER* = Required fields (these
fields have to be filled in; otherwise the form cannot be submitted)
 | 
| Service
period | 
|  |  | 
| CPU | 
|  |  | 
| RAM | 
|  |  | 
| Operating system | 
|  |  | 
| OS: 32
or 64 bit? | 
|  |  | 
|  | 
| If you need a specific OS
release, please mention this in the 'Comments' field below. |  | 
| Disk |  | 
| Disk
controller | 
|  |  | 
| Control
panel software | 
|  |  | 
| Bandwidth | 
|  |  | 
| IP
addresses (IPv4) | 
|  |  | 
|  | 
| If you need more than 5 IP
addresses for your server, please indicate the number of required IP
addresses in the 'Comments' field below. |  | 
| IPv6
addresses |  | 
| Total
price |  | 
| Domain
name |  | 
| Should
we register this domain for you (additional fee) ? |  | 
| Full name |  | 
| Company |  | 
| Address |  | 
| City |  | 
| Province/state |  | 
| ZIP-code |  | 
| Country | 
|  |  | 
| E-mail * |  | 
| Tel |  | 
| Fax |  | 
| Payment
method | 
|  |  | 
| If
selected 'Other', please specify |  | 
| Billing
name & address |  | 
| Comments
& additional requirements |  | 
|  |  |