Order SteadyBackup

I want to order SteadyBackup now!
Desired account size
Please select the desired size in GB.		 GB
Desired contract period
Choose between 3 month (surcharge 20%) and 12 month		 3 month
12 month
I am already Verio / NTT Europe Online customer
Customer number, Company:
I am a new customer of VERIO / NTT Europe Online 
Address for account
Company*:
Company Type*:
Additive
Street*:
ZIP, City*:
Country*:
Telephone*:
Fax*:
Email*:
Contact person
Address and Title**:
First name**
Last name**
Telephone:
Fax:
Email:
Legal representative
Use same details as Contact Person*?
Address and Title***:
First name***:
Last name***:
Birthdate*:
Membership and Billing

With your order you'll become a customer of NTT Europe Online GmbH in Germany - the European headquarters of the Web Hosting division of NTT Europe Online.

You will be billed in English pounds and you'll pay by remitting to a UK based bank account. If you are already a customer of NTT Europe Online Ltd. in UK, this new product will be billed by NTT Europe Online GmbH, all others will stay with NTT Europe Online Ltd.

If you want all of your products to be billed by NTT Europe Online GmbH in the future, we need you to agree to the following:
Membership*
I will be a new customer of NTT Europe Online GmbH, Germany
I am already customer of NTT Europe Online GmbH, Germany
I am already customer of NTT Europe Online Ltd., UK and
all of my existing products should be billed by NTT Europe Online GmbH with immediate effect. I'll get one invoice for all of my products in the future.
this new product should be billed by NTT Europe Online GmbH, all others should stay with NTT Europe Online Ltd
Miscellaneous
How did you hear from SteadyBackup?
Comment:
To process your order, we need your agreement to our terms and conditions.
I have read the terms and conditions and accept them.
Please reed here about the possibility that your order may revoked, due to the Distance Selling Act ยง3.

* required fileds
** Required fields if legal representative is the same as the contact person
*** Required fields if legal representative is not the same as the contact person