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Web Services

Hosting

Web Hosting Service Request Form

Department Information
Department name:
Production URL:
The URL is case-sensitive. Please avoid uppercase and special characters (i.e., tildes, underscores, hyphens).		 Example: yoursite.wisc.edu

Contacts
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Full Name:
Email Address:
Telephone Number:   ex. 608-555-0123 ext 1234
Contact Type: Admin
Webmaster
Billing
Add Another Contact

Select your Service Level -- Breakdown
Bronze
Silver
Gold
No scripting
Scripting if partnering with DoIT
Scripting to external customers
Select your hosting platform
Technical information
(please check all that apply)
Name
 
MySQL Database(s) (Linux only) Name(s):
 
ASP.NET (Windows Only)
If you need .NET 1.1 and 2.0 active for this account, please list the directory names and which version will be needed for each.
Comments

Billing information
Charges are billed monthly, throughout the fiscal year (July-June).
Please charge the monthly service to either of the following:
Direct UDDS:
Fund
UDDS
Program
Project/Grant

(optional)
Please contact your billing office for this info. UW-Madison customers may provide the above funding information instead of using DoIT Numbers. 
DoIT Number:
Contact your billing/accounting office to use an existing DoIT Number or set-up a new one.

Purchase Order #:

Authorization
I have read the Policies & Eligibility and understand the services that are provided.

Questions/comments on web hosting? Send email to webadmin@www.wisc.edu