* FishCart Installer Support	Custom modifications for special needs
* Installation on my servers	Strategic alignment of a complementary product
* Callback Telephone Support	Other (please be specific below)

Your Comments / Support Request / Problem Description:
(please give all relevant details)

FishCart Support Order ID: (required for *)
Your E-Mail Address:
Contact Name:
Company Name:
Address:
City, State, Postal Code, Country:
,
Phone:
Fax:

Installation Login Information
Login type: (check all that apply, ssh preferred)
Telnet SSH FTP *** *** FTP access may require assistance by the server administrator to run one or more commands to create the SQL database tables. This is not a limitation of FishCart; rather, it is not possible to execute the commands via FTP that may be required to create the database without full administrator access.
Domain name that the cart will use:
Hostname where the cart will be installed:
Username that will own the cart:
Password for the above username:
Root Password: (if applicable)
Directory underneath the top of the Web tree in which to install FishCart(sm) in:
Database Type:	MySQL PostgreSQL Solid
Database Name:
Database Username:
Database Password:

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