MX Resources


Request Form

Congratulations on your first step in eliminating unwanted emails and viruses.  Complete this form and MX Resources will create your online account and send you an email with further instructions to finish the process.


If you have any questions while completing this form, please contact us at 888-556-7788.

Organization Information

Organization Name:

Mailing Address:



    ZIP Code:

Website Address:

Primary Contact




Technical Contact (if different from primary contact)




Consultant ID:

(if applicable)

Billing Contact and Information

Contact Name:



Payment Method:

Service Information and Pricing

Number of Users:


Service Plan:


Setup Fee:

Monthly Price:

Mail Server Information

Domain Name:


Server Hostname:


Server Type:


Terms and Conditions

This Coverage Selection Sheet, together with the Services Contract below, the Service Level Agreement, the exhibits thereto, and any documents expressly referenced herein or therein (collectively, the Contract) shall constitute the entire and exclusive agreement between MX Resources, LLC (MX) and the Customer identified above (the Customer) regarding its subject matter.  This Contract which is effective upon submission of this form shall supersede and replace any previous or contemporaneous written or oral contract, warranty, representation or understanding regarding its subject matter.

Services Contract (printable version):


By marking your initials here, you acknowledge that you have received, understood and agreed to, in a legally binding manner, all components of the Contract.