Manviller Web Services - Personal Websites Client Information

PERSONAL WEBSITES

Customer Information

*Name:		*Email:
*Phone:	Ext.:	Phone:	Ext.
Secondary Contact:		Email:
Phone:	Ext.:	Phone:	Ext.:
Company:		* = Required Information
*Address:
*City:		*State (Province):	*Zip Code:
*Country:
Additional Information:
For Website Hosting Accounts;
*Desired Username: (From 4 to 8 characters in length.)		*Desired Password: (8 characters minimum in length.)

NOTE: We recommend making your Username and Password (especially your password) as strong against hackers as possible. If someone hacks into your account and causes damage to our servers or our business, it will be you who are liable for it. Strong passwords are, at the least, a random combination of UPPERCASE, lowercase, and number characters.

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