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Web Hosting Order Form
datex is a service of BroadSpire and provides web hosting to thousands of customers around the World. Our hosting service is ideal if you need reliability, fast technical support, and maximum performance. Just ask a few of our customers and you'll see how we're better.

You are just a few steps away from opening your hosting account with datex. The Order Form below provides us with the information necessary to properly set up your hosting account. Please note that the fields marked with a * are required and that incomplete or missing fields may delay the processing of your order.

If you have any questions, or would like the assistance of one of our sales engineers, please call us Toll Free at 888-262-6161 or at 818-920-1200.

Domain Information: I want a new domain that needs registration
I have a domain that needs to be transferred
I just need an IP address only

Domain Name: http://

Hosting Plan:

Plan Length:

Special Notes:

Optional Free Service: Enable Microsoft Frontpage extensions on my server
(required for customers that use Frontpage to publish their Web site)

*First Name:

*Last Name:

Company:

*Street Address:

*City:

*State/Province:

*ZIP/Post Code:

*Country:

*Phone:

Fax Number:

*Email Address:

How did you hear about us?

Promo Code:
(if any)

First Name :

Last Name:

Street Address:

City:

State/Province:

ZIP/Post Code:

Country:

Phone:

*Card Type:

*Card Number:

*CC ID Number

*Expiration:

Contact Us: If you're not sure what you need, please contact us toll free 888-262-6161 and a Sales Engineer will be glad to assist. We can draft a custom hosting plan to match your business needs and suit just about any budget.