Bandwidth Authorization Form

Dear Valued Customer,

Please provide the following information for billing purposes.
Should you have any questions or concerns, please contact
the Billing Department at 801-226-5252.

Please note that your account will not be allowed over the
current bandwidth limits until this form is completed and
received by our Billing Department.

When completed,
please fax this form to:

801-226-5252

or

801-226-9052

ACCOUNT INFORMATION

Your account number can be found in your Account Control Panel.
You can log in from our homepage: http://www.prohosting.com.

It is necessary that you call our billing department for pre-
authorization if your bandwidth limit will be in excess of 300GB's.

Domain Name: ________________________
Account Number:  _______________
New Bandwidth Limit:  ______GB/Month
(This amount should be higher than your current plan limit)

BANDWIDTH INCLUDED
WITH EACH PLAN:

Plan A:  30GB's
Plan B:  50GB's
Plan C:  100GB's

BANDWIDTH PRICING
FOR OVERAGES:

Up to 100GB total bandwidth:    $3/GB
101GB and higher:  $2/GB

CARDHOLDER INFORMATION

Full Name:  __________________________
Billing Address:  _______________________
                         _______________________
City:  _________________________
State:  ________________
Zip Code:  _____________

CC Type:   __AMEX   __ Mastercard   __VISA

CC Number:  _________________________

CC Expiration:  __/__

AUTHORIZATION

I hereby authorize ProHosting, Inc. to use the credit card information on this form to process my recurring billing for bandwidth services.  I understand that ProHosting, Inc. will disable my website when I have reached my bandwidth limit as stated above.

  Cardholder's signature:

             _____________________________

  Date:   _____________________