Summary of the order

You have this kind of server

Hoster : Online

Server : Dedibox LT 16G

And you wish the service : Outsorcing

Price : 75 EUR HT/month office hours, support by mail [ask us for 24&7]]

Personal information

Identity
Name * :
First name * :
Email * :	Email information
Coordinates
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Activity :
Country * :
ZIP Code * :	This field has to be numeric
City * :
Address * :
Tel. * :
Fax :
Specific installation
Comment :
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