Name*
Company Name*

Phone Number*

Email*

Preferred Method of Contact
Email   Phone

Best Time to Contact
All Day 10am to Noon Noon to 2pm 2pm to 4pm 4pm to 6pm Evening

What type of deployment is this?
Migration of existing setup Startup/New deployment Disaster recovery Additional capacity

What OS are you running? Linux   Windows

Are you interested in full management? Yes   No

Do you require firewall service? Yes   No

Do you require load balancing? Yes   No

How much storage do you need?
100GB 500GB 1TB 2TB more than 2TB

Estimated Bandwidth Usage

What are your current pain points?

Project Budget
less than $250 $250-$2,500 $2,500-$5,000 more than $5,000

Time Frame for Decision
Immediate 1 week 1 month More than a month

Why are you considering Atlantic Metro?
Who else are you considering beyond Atlantic Metro?

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