EmailMAX Order Form

Please fill this form out to setup a domain for EmailMAX Mail Protection service. You will be entitiled to a 30-day FREE trial.

Contact Information
Name*
FirstLast
Email*
Phone*
Company Name:*
Domain Information
Domain Name:*
Put the domain name that we will be protecting here, for example if your email is john@domain.com, put domain.com. We can add addition domains later.
Exchange Server's External IP Address:*
Please Provide the Exchange Server's external IP address. Example: 26.12.74.12 or mail.domain.com
Administrator's Username*
Provide a username for the administrator's control panel. This admin account will be able to add or delete new users as well as other various tasks.
Administrator's Password*
Provide a password for the administrator's control panel.
Upload List of Users
Upload a list of the current email addresses. If you need help you can skip this and have one of our engineer's help you.
Additional Domain Names
If you have any Alias Domains, please list them here. Alias Domains would be alternative domains that you receive email to.
Credit Card Information
Credit Card Type*
Credit Card Number*
Credit Card Expiration*
Cardholder Name*
FirstLast
Billing Address*
Billing City*
Billing State*
Billing Zip Code*

Contact Information