ACT USA - Open Source Integration Specialists

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Click Here a NEW OFFER!

APPLICATION
To apply for our new Open Source Dedicated Server offer - please fill out the form below, including as many details as possible! This is an application, the more information submitted, the easier it will be for ACT USA to determine your eligibility. Your data will be kept completely confidential.

	Your Full Name
	Company Name
	Type of Business
	Company website
	Mailing Address (street)
	City, State, Zip
	Phone Number
	2nd Phone Number
	Email
	Are you planning to use Open Source?	YES NO
	Which open source license will be used for final distribution?
	Projected bandwidth required
	Projected processor required
	Projected RAM required
	Projected storage required
	Are you a non-profit organization?	YES NO
	Will your project require emergency 24 hour service in the case of an internet/hardware problem?
	For a reduced fee, will you agree to wait until regular business hours for troubleshooting?
	Tell us a little about your Open Source experience. (Include specifics)
	Describe the projected use for this server (include specifics):
	Use this box to give us any other information that you would like to share
Please hit submit only once One of our representatives will contact you shortly! or

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