Please note: fields with a * or ** must be completed.

Customer details

VM for rent request

*First name:

*Surname:

*Contact e-mail:

*Contact e-mail (again for verification):

*Contact telephone number:

*Department or College:

Billing details

*Billing name:

*Billing telephone number:

*Address line 1:

*Address line 2:

Address line 3:

*City:

*Postcode:

Virtual machine details

*Hostname:

**Operating System Template

What operating system do you require on the virtual machine?

Select Windows Server 2003 Windows Server 2008 RedHat Linux 5 RedHat Linux 6 Debian Linux 6.0 (aka Squeeze) CentOS Linux 5

**Please select the amount of memory that you reqire on the virtual machine (512MB comes as standard)

512 MB 1024 MB 1536 MB 2048 MB

**Additional hard drive

What additional hard drive space do you require? (10GB OS drive as standard)

Select 0GB 10GB 20GB 30GB 40GB 50GB

Rental details

*Rental duration

For how long do you require this virtual machine?

Select 1 month 3 months 6 months 1 year 2 years

Is there anything else that you think we should now about your VM request?

The options marked ** may incur addtional costs above the basic rental charge. The total cost will be e-mailed to you - full charging details can be found on the charges page.

*Spam protection:

Enter the characters you see in the image.
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