Acknowledgment of Receipt and
Execution of Agreement
(Signature Page)


The undersigned acknowledges that they have received, read, accepted and agreed to the Blue Reef Consulting, Inc. Virtual Server Agreement updated March 1, 2000, and incorporated by this reference.



Company Name:


Date:
 Signature:

By:


Title:


Customer ID:  




Blue Reef Consulting, Inc.


Date:
 Signature:

By:


Title:


















INSTRUCTIONS
After you have reviewed the Virtual Server Agreement, please print, sign, date, and fax the this document to Blue Reef Consulting, Inc. (305-274-9593). Mail original to Blue Reef Consulting, Inc. at address indicated below.