Online Order Form

Please enter the following information. Required information is indicated by the

symbol. For more information on the sections below, click the

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domain information

domain name	www. .
register new domain transfer existing domain no domain - assign an ip address only

services

hosting plans	disk	transfer	odbc	mysql	mssql	monthly	monthly	setup	savings
shared windows starter plan	10,000 mb	500 gb				$9.95	$9.95	waived	$35.00
shared windows business plan	25,000 mb	1,000 gb				$17.95	$17.95	waived	$35.00
shared windows corporate plan	50,000 mb	2,000 gb				$24.95	$24.95	waived	$35.00
shared windows enterprise plan	100,000 mb	3,000 gb				$49.95	$49.95	waived	$35.00

will you be using microsoft access databases?

how did you hear about us?

who assisted you with your order?

user account

user id (minimum length of 3 characters)
full name

contact information

name

first		last

company

postal address

postal address (line 2)

city

state (us only)

province (outside us)

postal code

country

telephone

alternate telephone

fax

e-mail address

payment information

For your protection, your IP address has been recorded to identify you and your location. This information will be stored with your order.
source ip address	18.97.14.84
method of payment
payment frequency
special offer code

credit card information

credit cards accepted

credit card number

card security code

expiration date

Month		Year

card holder name

credit card billing address

same as contact information address above

address

address (line 2)

city

state (us only)

province (outside us)

postal code

country

terms and conditions of sale

Please carefully read our hosting agreement and acceptable use policy. Select the checkbox below to confirm you have reviewed and understand the policies in the documents above. By completing your order, you agree to be bound by these policies.
I have read, understand and agree to the above policies.