Backup Service Order Form

Office Location
Company Name:
Address:
City/State/Zip:
Contact First/Last:
Phone:
Fax:
Email:
Billing Address
Address:
City/State/Zip:
Contact First/Last:
Phone:
Fax:
Email:
Backup Services Requested
Service Plan:
Number of computers to be backed up:
.
Comment:

Terms and Conditions
I understand that by requesting an account I will be providing external access to my computer system for the purpose of transferring files to an online backup service. ezTechDirect's backup service team will work hard to secure your data and limit computer access but there is no 100% successful method of securing a computer system connected to the internet. ezTechDirect will not be liable for data loss, security breaches, computer failures, viruses, and other forms of malicious or damaging applications. You agree to promply pay upon receipt for all backup services based on the published rates at the beginning of each period. You understand that failure to pay for services will result in the immediate disabling of your account resulting in the discontinued backup of your data and theirby placing your data at risk.