Hosting and Domain Order Form

 

Choose Your Hosting Package
Express Site $  9.95 per month -   200MB
Home and Small Business $ 19.95 per month -   15,000 Mb Space
50,000 Mbit Transfer
2000 Email Accounts
Business Commerce $ 29.95 per month -   20,000 Mb Space
75,000 Mbit Transfer
3,000 Email Accounts
Business Enterprise $ 39.95 per month -   30,000 Mb Space
100,000 Mbit Transfer
4,000 Email Accounts

 

Order Your Domain Name
http://www. .com, .net, .org, .info, .biz, .us,  .name

(supply your extension (the .com, .net, .org, .info, .biz is the extension) as part of your domain name. Domain names must consist of alpha characters, numeric characters, or the minus sign '-' Other characters are not accepted. Domain Names are not case sensitive. 
Choose "New Domain Registration" below if you are registering the domain for the first time.
New Domain Registration   Don't register me

(Choose 'Don't register me' if this is an 'already registered' domain name.)

***New Registrations Only***
Please select the number of years for which you would like your domain registered.   

Domain 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
Comments

Owner Information
Name:
Address:
City:
State: Zip:
Country
State (if other than the United States or Canada):
Home Phone #
Business #
1st eMail:   
2nd eMail: 
Be sure your email addresses work! This is where we will be sending your username and password to your control panel. You can use a domain email address as the 2nd email.

Owner Contact Information
Please do not change this section unless you would like to fill in specific Contact information for the InterNIC registration
Use the information listed above for the Administrative and Billing Contact information. 
Have us be your Technical Contact.

Payment Information
Payment Type Credit Card Check or Money Order or Check Debit Card PayPal
If you would like to pay by Credit Card, please place your Credit Card information below.  If you would like to pay by Paypal, please enter your paypal user ID below: 

Name on Credit Card:
Card Type Visa   MC 

Card #

Expiration date:
Monthly or Annually?: