Hosting Data Center Lamit Company Order Form

Domain * ( ex. lamit.ro ) Name and surname* CI Series and Number(for physical persons) Company name (for juridical persons) Phone* Fax * Address * City * Country* Person / company e-mail * URC- Unique Registration Code (for juridical persons) The Comerce Register Registration Number (for juridical persons) Bank (for juridical persons) Bank Account (for juridical persons) Hosting Package * Silver Golden Platinum Dedicated Hosting Covered Payment Period* 3 Month 6 Month 12 Month 24 Month Data bases* 1 2 3 4 5 10 Unlimited Informatii suplimentare * Introduceti textul din imagine

Terms and conditions- We, Lamit Company, agree to use the above information only on achieving the goals for which this was originally introduced.The above data are strictly confidential and these will not be send to any other external source. - You agree not to provide false, incomplete or wrong information, otherwise you will be submitted to the international or Romanian laws.