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UBU Design: Solutions
 
 
Hosting Request Form
   
Please indicate which package you like to sign up for
   
Hosting package

Company information
   
Full Name
Company
E-mail
URL
Telephone
Fax
Address
City
State
Country Zip code:
   
Billing information
   
Credit card information along with any special request.
  Include cardholder's name, card type, number and exp. date

Or you may send a check to:

UBU Design
2344 28th Street
Santa Monica, CA 90405
Please make sure you include your email address and company information. We will contact you as soon as possible and go over the details of your account.