General Details - Please fill in the form below User: Anonymous User Date: 7/30/2010 Title: ** Select ** Mr Mrs Ms Company: First Name: Last Name: Email Address: Phone Number: Please tells us more about what you plan on hosting: How many ESX hosts: Will you be providing your own hardware: ** Select ** Yes No Bandwidth: ** Select ** 512 1 MB 1.54MB 2 4 8 16 How many public IP Addresses: ** Select ** 1 IP Addresses 4 IP Addresses 8 IP Addresses 16 IP Addresses 32 IP Addresses 32+ IP Addresses Will you need aditional storage: ** Select ** ISCSI Windows File Sharing Fiber Channel Other How many virtual machines will you be hosting: ** Select ** 1-5 Virtual machines 6-10 Virtual machines 10-15 Virtual machines >15- requires additional host Do you want vmotion capability: ** Select ** Yes No Extras: 220v Comments: Document Upload (Optional):   Please indicate where you came to know about Vigilant Hosting Services: Advertisement in Newspaper / Journals Other: Internet Other Specify:

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