Interestingly, the folks I deal with some folks who run some large-scale Microsoft services for a living want nothing to do with Azure in its current state and use AWS instead.
Apparently, Azure lacks some pretty basic functionality like the ability to bind multiple addresses to an instance [0] and makes running legacy versions of Windows a pain - deal breakers for production and test purposes.
0: http://social.msdn.microsoft.com/Forums/windowsazure/en-US/d... "At this time we have nothing we can disclose regarding the timeframe to support multiple IPs on Azure VMs."