Simple web hosting for the planet earth™



 

 ORDER FOR HOSTING TRANSFER
  You are connected to our secure site.  Information is encrypted between you and our servers.  

Domain Name:
Plan Type:   
  bbullet.gif (64 bytes) Please provide the following contact information: 
  = required field
Administrative Contact This the contact person who will be handling the web design.
First / Middle
Last name
Title
Organization
Street address
Address (cont.)
City

State/Province
Zip/Postal code
Country
Contact Phone
FAX
E-mail
Referred by web name


Billing Contact

This is the person responsible for paying the website.  If the same as the Administrative Contact, please leave blank.
First / Middle
Last name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Please complete below if Billing Information is entered
Billing Email
Billing Contact Phone
  ADDITIONAL COMPONENTS:
MS Access
        ODBC 		 $2/month 
MS SQL 2005 $25/50MB per month, $25 setup fee
Extra
DiskSpace		 $3/month per 5MB block
Extra 
POP3 eMail 		  
$2/month per mail account
   
ACCESS TYPE:  

This will be your method on how you will be publishing your site. 
PUBLISHING USERNAME & PASSWORD: Please choose a username and password that will be used for FTP access or FrontPage access. (For username, no spaces.  Password must be 6 characters minimum)
User Name  
Password   

EMAIL ADMINISTRATOR
Please provide us information for the primary POP3 email address.  The account holder of this email address will have the capability to add new accounts, aliases, forwarding and manage the domain's entire email.
First Name
Last Name
eMail Address
example:  firstname@yourdomain.com 
Password
 

I would like to be billed:
Monthly            Quarterly          Annually (10% off rate)
By                   Credit Card    Invoice via email

*If paying annually, we can only accept a check for payment.

CREDIT CARD INFO

    

 We do not bill you until the site is up.  If the site is live after our billing day, you will be pro-rated for that month. 
Credit card
Cardholder
name
As on card
Card number no dashes
Expiration date mm/yyyy 
Billing Street Address of Card
Zip Code billing zip code 
Comments




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