Please give us you contact information below. The form must be filled out completely so that we are able to contact you if needed. We also need to know a username and password to setup on your Ventrilo server, so that information will need to be provided as well. You can change your password after your first login to the server. After we have received your information we will send an e-mail to the address you have provided with an account number as well as a total amount to begin your server. This amount will be your first partial month and your first full month of service, there after you will be billed monthly.
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