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Request for Information

If you would like more information on what Internet Partners can do for your business, fill out the following form and our sales staff will contact you to answer any questions you may have. If you are ready to open a business account with IP, fill out the following form to begin the process.

Company name:

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Phone number:

Fax number:

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Services interested in:
(select all that apply) Dialup Package
Executive Partner
Executive Partner Plus
Professional Partner (without web hosting)
Professional Partner

Dedicated line
Frame relay
Web hosting (standard)
Web hosting (NT Server)
Outsourced Email
Server co-location
Domain name registration
Domain name transfer
Network consulting

Billing type:

Do you want 800 access?
(additional charges may apply) Yes
No

If you are switching ISPs,
which one are you switching from?

How did you hear about us?

Comments

© 2000-2003 Internet Partners, Inc.
1800 NW 167th Place Suite 160 - Beaverton, Oregon 97006-8132
+1 503 690 2700 FAX +1 503 690 9700

Company name:
Contact name:
Billing address:
City:
State:
Zip Code:
Phone number:
Fax number:
Email address:
Services interested in: (select all that apply)	Dialup Package Executive Partner Executive Partner Plus Professional Partner (without web hosting) Professional Partner Dedicated line Frame relay Web hosting (standard) Web hosting (NT Server) Outsourced Email Server co-location Domain name registration Domain name transfer Network consulting
Billing type:
Do you want 800 access? (additional charges may apply)	Yes No
If you are switching ISPs, which one are you switching from?
How did you hear about us?
Comments