North Atlantic Networks


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Title:  
First Name:    *  
Last Name:    *  
Company/Organization:    *  
Address 1:    *  
Address 2:  
City:    *  
State:    *  
Zip:    *  
Phone:    *  
Fax:  
Email:    *  
Web Address:  

   

Email Services (if applicable)

POP Email:
SPAM Filtering:
Virus Protection:
WebMail:

 

Username Password Map From
(if applicable)		 Map To
(if applicable)
1.
2.
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10.

Guidelines: Username - 8 chars max. 4 chars min, no symbols, letters & numbers only.  Password - 8 chars max, 4 chars min, all chars.  Mapping - specify valid email address in "From" and "To" as applicable Some e-mail services require a domain name. Please fill in appropriate fields, if more space is needed, please send remaining info via email to support@nan.com.

Hosting, DNS, News & Other Services (if applicable)

FTP:
Hosting:
Domain Name:  www. .
News:
Other Mail Services:
IP Addresses:
Router Maintenance:
Monitoring Services:
DNS:
Router Configurations:  **
Management Services:  ***
Leased Line Move:

When selecting a hosting product, a DNS product must also be selected.  DNS may be purchased without a hosting product.

**Please note: Some router configurations will require a technition to be onsite, this will incurr an additional $125 charge. North Atlantic Networks will assess company's situation and determine where configuration will occur.

***Management contracts are for one year term. Full amount due upon cancellation.



Backup Service & Dial-up Services

Leased Line Backup:  ****
National Supported Dial Up:
Regional Unsupported Dial Up:
Always On Dial Up:

****Available only for use with leased line

Username
Password

Additional Comments:



FOR ALL HARDWARE ORDERS CONTACT North Atlantic Networks SALES DEPARTMENT AT

800-299-3330

Request for additional service or changes/upgrades to existing service are subject to NAN approval and can take up to three business days to provision. Customer is wholly responsible for moving web site content and creating backup(s). When complete (including a digital signature by checking that you agree to these terms) please click on submit.
 
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or

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Agent AE Name

If you are unable to view this page please send us an email at support@nan.com