Datagram Backup SMTP Questionnaire

If this is for a new install, please copy and paste this into an
email back to your Service Delivery or Provisioning representative.

If this is for additional service post-install, please copy and paste this 
into an email to Datagram Support support@datagram.com


Date:  ______________                             Customer Number:  __________


A.   CUSTOMER INFORMATION  (feel free to leave blank if attaching to IPQ)

  1. Company Name: ___________________________________________________________

  2. Tech Contact 1: _________________________________________________________  
                        Name                    Email                   Phone

     Tech Contact 2: _________________________________________________________  
                        Name                    Email                   Phone

B.   BACKUP SMTP SERVICE

   3.  Do you want Datagram to perform Backup SMTP Hosting for a domain for you?  
           [  ] Yes     [  ] No

      3a. If Yes:

 	Write the domain(s) here. _____________________________________________

	Write the FQDN of your primary mail server here: ______________________


	Note: Datagram will store email for a maximum of ten days.


C. 	SPAM AND VIRUS FILTER SERVICE

  4.  Do you want Datagram to perform SMTP Firewall service for you?  
           [  ] Yes     [  ] No

      4a. If Yes:

 	Write the domain(s) here. _____________________________________________

	Write the FQDN of your primary mail server here: ______________________

	  4b. Select Service Level [  ] Platinum  [  ] Gold   [  ] Silver



D.   ADDITIONAL COMMENTS (add additional sheets as necessary)

     _________________________________________________________________________

     _________________________________________________________________________

     _________________________________________________________________________
                                                                   SMTPQ-v1.50
                                                                      01/1/06