Request a Quote for Your Custom Web Hosting Package

Please complete this form and we will get back to you promptly with an estimate of your web hosting costs.

Contact Name:
Email address of contact:
Company Info:

City, State:
Web Site URL:
Do you want us to contact
you by phone or email?:
email   phone
Best Time to Call:
Are you a member
of exit109?
yes   no
Are you also interested
in web design or
yes   no
If yes, please explain your design/development needs
in the comments box at the end of this form.

Help us determine your web hosting needs by providing us the following information about your existing or future web site. (We realize that you may have to guestimate. Fill out what you can.)

Briefly describe the purpose of the web site.

How much traffic will the site attract? (You can represent this in terms of data transfer or visitors, for example.) Please explain.

Number of pages:
Size of web disk space:
(in megabytes)
Shopping cart?
yes   no
If yes, how many items in the shopping cart?
Real-time credit card processing?
yes   no
What type of legacy systems or databases will be involved?
Audio or video requirements:
Interactive multimedia requirements: (Shockwave, Flash, etc.)

Are there any security requirements? If so, what are they? (secure transactions, confidential information, password protection, etc.)

What web development tools will be used? (Microsoft FrontPage, Coldfusion, etc.)

Will the site require a dedicated web server? Please explain.
Server type requirement: UNIX   NT Any
Will you be providing your own CGI/PERL scripts? If yes, please describe.
Will you need internet access? Please describe your interests.
How many email addresses will you need?
Features not mentioned above:
Please provide additional comments below:

If you want us to contact you regarding web design or development, you may want to fill out our Web Profiler questionnaire.

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