Please fill up the form below or download the pdf format.
 
1.  Administrative Information

Full Name

Company

Address

City/Town

Zip/Postal Code

Email

Telephone

Hand Phone

Fax
How many months   3  6    12

IP Addresses

Port Bandwidth

 kbps
  
2.  User Information

Preferred User ID

Password
Re-type Password
   
 
3.  Select Server Configuration
3.1 Client-supplied server
 

   

Processor

  

 

 Dual Pro   Quad Pro

 
Operating System

 
Amount of RAM

 
Hard Drive 1

 Type

Size

 
Hard Drive 2

Type

Size
 
3.2 DRC-Customized server
RH Linux 8, Apache, Sendmail, ProFTP, Webmin, MySQL, PHP MyAdmin, OpenSSL

 
Select hardware

 
Amount of RAM

 
4.  Additional Services

E-Commerce Servers

Remote Reboot

Network Backup

Firewall

Server Monitoring

Support time

Additional Instructions
   
5.  Where did you hear about us?

Internet
Broadcast
Referral
Print
Sales Representative
Others 
   
7.  Payment Information

Please choose your preferred form of payment.
 

Cash
Check
Bank Deposit or Wire Transfer
  (please call us for bank details)
8.  Agreement

I confirm that the above information is true and correct.

Before submitting this form, please make sure that all required fields are complete.  By pressing the Submit Button, you are placing an order and agree to pay for the services ordered based on the current pricing plans.  To avoid submitting multiple orders, please press the Submit Button only once.

We will process your account once payment has been received. To expedite your order, fax us your validated check or deposit slip with your account name and your account will be activated within a day.