Surfglobe Internet Technologies : Hosting

Company Information :

Company Name

Address

Telephone

Fax

E-mail

Contact Person

Personal Information :

Same as Above

Name

Address

Telephone

Fax

E-mail

Service Details (Surf Hosting) :

Space Required	MB
Duration of Required Service	Year(s)
Domain Name
I have already Purchased the Domain Name, I wish to Transfer my Existing Domain Name to Surfglobe Internet Tecnologies
Desired FTP Username
Desired FTP Password
Number of POP3 email accounts
Please Fill-in Your Comments or Additional Questions (If Any)

I Hereby declare that the above information is True.
I also Agree to all the Terms & Conditions Implied by Surfglobe Internet Technologies regarding any of their Services.