PriorityColo.com - hosting - colo

Order Plan

Shared 2
Money Back Guarantee	30 Days
Disk Space	500 MB
Transfer	10 GB
IPv4 Addresses	1
POP3 Emails	25
Email Aliases	25
Email Forwarders	25
Auto Responders	25
FTP Accounts	25
MySQL Databases	10
Sub-Domains	10
Domains	1
Setup time	Within 24 Hours
Setup Fee	$11.95
Paid Monthly	$19.95
Paid Semi‑Annually	$109.95
Paid Annually	$204.95
Purchase	Order Package

Contact Information

First Name *
Middle Initial
Last Name *
Address Line 1 *
Address Line 2
City *
State/Province
Zip/Postal Code
Country *
Phone Number *
E-Mail Address *
Domain Name *
Company Name *
Additional Contact
Additional Contact
Additional Contact
Additional Contact
Additional Contact

Misc. Information

Where did you hear about us?
Why did you choose us?
Additional Comments

Payment Options

Billing Period
Payment Method

Credit Card Information (If Applicable)

Card Holder's Name
Credit Card Number
Expiration Date	Month Year
CCV Number	(3 or 4 digit security number on card)
Bank Name
Bank's Full Phone #

Terms and Finalization

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