Order :
- Co-Location server Yearly : CHF 1900.-

Monthly : CHF 180.-
Setup fee : CHF 200.-


Domain
Domain name:
Billing
address


Name:
Address:

City:
State:
Zip Code:
Country:
Phone Number:
E-mail:
Fax Number:


Payment

Payment method:
Credit Card:
Card Number:
Expiration date:
Cardholder Name (if differant) :

Special
instruction