SWCP Backup Service
Account Information
Name
Login Name (3-12 chars)
Contact Email Address
Company/Organization
Billing Address
Billing Address Cont'd
Daytime Phone
Evening Phone
Fax
Products
Number of Desktop Machines? Each includes 5GB quota
Number of Servers? Each includes 25GB quota
Extra Quota needed (in GB)
Promotions
Promo Code Found on the advertisement
Payment Options
Please provide credit card information for the account setup charge and software.
Credit Card Number
Card Holder's Name
Expiration Date (format: mm/yy, e.g. 12/11)
Card Type Visa MC AmEx Disc
CVV (format: 3 or 4 digits)
Please only bill the startup fee to my credit card ($21.35 Waived until 01/14/19)
Please bill my credit card each month

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