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RACKS, CAGE or DEDICATED SERVER REQUEST FORM

Instructions: Please fill out as much information as possible. Your information will be sent to: dedicatedhosting(at)Ihsystem.com. You will be contacted by an IHSYSTEMS Dedicated Hosting Sales Team within one business day with further information.

Bold = Required Information

Step 1 - Customer Information

Company Name
(Please list parent company name only)

Contact First Name
Contact Last Name
Contact Title
Company Address
(Please list headquarters address only)
City
State/Province/Region
Zip/Postal Code
Contact Email
Contact Phone
Decision Maker's Name
Decision Maker's Title
Company URL
Are you a current IHSYSTEM customer? YES  NO


Step 2 - Sales Rep. Information

For IHSYSTEM Sales Rep use only. Please skip this section if you are not an IHSYSTEM Sales Rep.
(All fields required for IHSYSTEM Sales Reps)

First Name
Last Name
Company Email
Phone
Employee ID Number
this is your Oracle ID from insidexo address book [6 digit code]
IHSYSTEM Sales Reps: An IHSYSTEM Hosting Sales Liaison will contact you within 24 hours to discuss your customer's requirements and working with IH Systems.


Step 3 - Qualification Questions

How Many Servers would be included?
Are you interested in Data Center Collocation only and intend to supply all hardware? YES NO

All questions below are optional. Answering the questions below helps expedite the pricing quote process, but is not required to qualify for IHSYSTEM Dedicated Hosting service.

Budget Information

a) What is the budget for this project? US$

b) Has this budget been approved? YES NO

What is the timeframe to:

a) Define Service Provider?
b) Complete Implementation?


What are the business drivers for the project?

 Growth Needs
 Disaster Recovery
 New Application
 Transfer from Another Provider
Other: 


Are there any written requirements or supporting documentation?

(Please list and/or attach to a separate email to dedicatedhosting(at)ihsystem.com)
What type of Infrastructure is this?  New
 Existing
 Both

What level of Managed Services is the customer looking for?

Monitoring

Server
Network
Firewall
Database
Other: 

Management (Admin and Remediation)

Product
Hardware
Software/Licensing
Support Contract
Other: 

What Operating Systems are required?
What Application(s) are required?
What Database(s) are required?

Hardware
Will the customer need to lease and/or buy hardware from IHSYSTEM

Lease
Buy
Both
List any hardware that IHSYSTEM will need to provide

List any hardware the Customer expects to provide

Will the customer require a back-up solution?

YES NO

Will the customer need software to be purchased by IHSYSTEM?

List any software that IHSYSTEM will need to provide

List any software the Customer expects to provide

Will the customer require a back-up solution?

 YES  NO

If yes, how large is their data set:

Collocation

What type of Collocation facility is required?
 Data Center Collocation
 Telco Colocation

If DC Colo, list preferred location:
Chicago, IL
Naperville, IL
Other: 

Term of the Contract Inquiry:

Space Requirements for Data Center Collocation
(Note: for Managed Services, IHSYSTEM will supply space requirements):
Shelf
Half Cabinet/Rack
Full Cabinet/Rack
Cage
Bandwidth requirements   Mbps
Traffic Ratio 

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