1. For verification purposes, please supply the following information: (required)
*Company Name *Name: (ex. Jane Smith) *Domain Name: (ex. www.800hosting.com) Daytime Phone: (ex. 212-555-1234) *Email Address:
2. How many additional IP addresses are you requesting? *
Enter requested IP amount
3. List domain to IP assignment that will be used. *
*** At least 80% utilization of IP addresses is required ***
4. Name-based (shared IP address) confirmation. *
Yes, I am currently using full or partial name-based/shared IP hosting.No, I am not using name-based hosting. If you answered no please complete the next section Please explain the reasons why you are not using name based hosting. (If you havequestions on how to configure name-based hosting please contact our support team)
5. Acceptance of terms of assignment: *
All IP assignments granted as a result of the information provided on this form shouldbe 80% utilized within 60 days. 1-800-HOSTING reserves the right to revoke assignmentswhen utilization and/or acceptable use use is not met at any time. Yes, I agree to the above terms and conditions.No, I do not agree to the above terms and conditions.