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CG Hosting; - SERVICES REQUEST FORM

This is a quote request form only. All final orders should be placed through our Secure Shopping Cart.

Use Our Convenient Request Form and Hit Send - If you have a problem using this form you may

Fill in the blanks, print out a copy, then send it as an attachment via e-mail
to Our sales office

We will respond!!
If you require assistance....Call us at: +1 604-318-8545
We are quite often busy so please leave a message if we do not answer
Thank you!


Kindly provide the following information: All Customers complete this section please

First Name:
Last Name:
Your E-Mail:
Area Code:
Home Phone:
Work Phone:
Fax Number:
Street Address:
City:
Province/State:
Postal /Zip Code:
Company:
Title:
Country:
Hosting Customers Please Complete This Also
Site Type:
How many MB or GB?:
Require Domain Name?
Domain 1st Choice
Place further information here. Additional POP 3 mailboxes Other requirements Or.. call us at +1-604-318-8545

After reading EVERYTHING below (including Payment Policy)
Please hit the "SUBMIT" button Once.
We will confirm via e-mail that we have received your information / quote request

THANK YOU for your submission

All Rights Reserved.
Copyright 2000 - 2007
CG HOSTING.COM
Div of Cyber-Gold Communications.
41527 - 923, 12th Street,
New Westminster, B.C. V3M 6L1

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