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Hosting and Domain Order Form




Choose Your Hosting Package
Package A $6 per month -  $10 setup fee 50mb
Package B $7 per month -  $10 setup fee 25mb
Package C $11 per month -  $0 setup fee 500mb
Package D $16 per month -  $0 setup fee 1000mb
Package E $21 per month -  $0 setup fee 1500mb
Package F $26 per month -  $0 setup fee 2000mb


Order Your Domain Name

www. .com .net .org .info .biz
New Domain Registration $10 per year Choose if you are registering a name for the first time. Make sure that it is availabe: click here.
Don't register me $0 per year Choose this if you already have a domain name. You will be responsible for the transfer.


Billing Information

Please Bill me: I would like to pay by:


Owner Information
The user name must be limited to 8 characters. The user name must start with alpha characters and consist of alpha characters, numeric characters, the minus sign '-' or underline '_'. (usernames cannot be changed). All lower case only.
User Name
First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State: Zip:
Country
State (if other than the United States or Canada):
Home Phone # ( ) -
Business # ( ) -
Email:   
Be sure your email addresses work! This is where we will be sending your username and password to your control panel. This email address can't end with your new domain name.

       


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