VIRTUAL SERVER SIGNUP FORM
1. YOUR ACCOUNT
PLEASE FILL IN YOUR CUSTOMER NUMBER, IF YOU DO NOT KNOW YOUR NUMBER PLEASE PROVIDE YOUR FULL FIRST AND
LAST NAME. IF YOU ARE A NEW CLIENT PLEASE FILL IN ONE OF THE PERSONAL DETAILS FORMS.
http://cdn.gravit.com.au/forms/personal-details.pdf
Customer Number:
2. VIRTUAL PACKAGES
VIRTUAL SERVERS GIVES YOU THE FLEXIBILITY OF YOUR VERY OWN SERVER BUT WITHOUT THE INITIAL CAPITAL OUTLAY!
Product Name Description Price Signup
CPU: 2.5Ghz (Single Core)
RAM: 512Mb
Disk Space: 5GB
Custom Site Host $25.95 per month
Monthly Data: 10GB
1 Static IP Address
Includes an 99.9% SLA
CPU: 2.5Ghz (Dual Core)
RAM: 1GB
Disk Space: 20GB
Entry Level Reseller Monthly Data: 30GB $145.95 per month
5 Static IP Addresses
Optional Control Panel Installed
Includes an 99.9% SLA
CPU: 2.5Ghz (Quad Core)
RAM: 2GB
Disk Space: 50GB
Advanced Reseller Monthly Data: 50GB $219.95 per month
5 Static IP Addresses
Optional Control Panel Installed
Includes an 99.9% SLA
3. OPERATING SYSTEM OPTIONS
WHAT TYPE OF ARCHITECTURE WOULD YOU LIKE YOUR NEW VIRTUAL SERVER TO RUN ON?
IF UNSURE TALK TO US AND WE CAN DISCUSS YOUR SERVERS NEEDS.
32bit 64bit
WHAT OPERATING SYSTEM WOULD LIKE TO RUN ON YOUR NEW VIRTUAL SERVER?
BYO Virtual Image Windows Server 2008 Standard Windows Server 2008 Enterprise Linux
If you selected Linux what Linux distribution would you like?
4. ADDITIONAL OPTIONS
NEED MORE OF SOMETHING… SELECT IT HERE.
4.1. IP ADDRESSES
EACH VIRTUAL SERVER PACKAGE COMES WITH A BUNDLED NUMBER OF IP ADDRESSES IF YOU REQUIRE MORE PLEASE
TELL US HOW MANY YOU NEED, PLEASE KEEP IN MIND THAT YOUR REQUEST FOR MORE IP ADDRESSES MUST BE
JUSTIFIED IN ACCORDANCE TO APNIC RULES AND REGULATIONS. http://www.apnic.net/
EACH ADDITIONAL IP IS CHARGED AT $4.95 PER MONTH.
Number of Additional IP Addresses:
4.2. MONTHLY DATA
IF YOU NEED MORE MONTHLY DATA ALLOWANCE FOR YOUR VIRTUAL SERVER PLEASE SELECT IS HERE. PLEASE KEEP IN
MIND THAT THIS IS ON TOP OF WHAT IS ALREADY PACKAGED WITH YOUR VIRTUAL SERVER. IF YOU NEED MORE THAN
100GB PER MONTH PLEASE CALL US.
50GB $99.95 per month 100GB $169.96 per month
PLEASE NOTE THAT EXCESS DATA IS CHARGED AT $3 PER GB
MONTHLY DATA IS CALCULATED BY THE GREATER OF EITHER:
1. Monthly inbound data + monthly outbound data, or
2. Twice the inbound data
5. PAYMENT DETAILS (CREDIT CARD)
Card Number: Expiry: Cvv:
Card Holders Name:
Signature:
IF YOU WISH TO PAY BY OTHER MEANS PLEASE CONTACT US AND WE CAN DISCUSS THE OTHER OPTIONS AVAILABLE.
6. SUBSCRIBER DECLARATION
I am over 18 years of age and agree to the General Terms & Conditions and the Fair Go Policy. Please note for up to date
versions of the General Terms & Conditions and the Fair Go Policy please visit our website: http://www.gravit.com.au/
I acknowledge by signing this application form that I am bound by all terms and conditions including but not limited to minimum
contract lengths. I also acknowledge that terminating the contract early will result in additional termination fees being payable.
Signature: Date: