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Website Details:* |
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If you do not already
have a website name, we can register one for you.
The charges are $30 for one year or $40 for two
years. Please specify your preferences:
Please register my domain name for one year. I
understand that $30.00 will be added to my bill.
Please register my domain name for two years. I
understand that $40.00 will be added to my bill.
Not Applicable
Please give us your
first choice of website names. Feel free to
give us second or third choices as well. We
will check the availability of your desired name(s).
If one of your listed choices is not available, we
will check similar names and contact you to assist
in your final choice:
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-OR- |
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Existing Website
Name: |
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If you have already
registered a website (domain) name, please tell us
what it is. Be sure to include the ending,
such as .com, .org, or .net:
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| Hosting Plan: |
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Below is a
summary of the hosting plans. The Basic Web plan is
sufficient for most new websites, and all our plans are
upgradeable at any time. |
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Service |
Basic Plan |
Advanced Plan |
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Setup Fee |
No Setup Fee |
No Setup Fee |
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Monthly Hosting Fee |
$20.00 |
$40.00 |
| Disk
Space |
2,000 MB |
4,000 MB |
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Traffic/Bandwidth |
20,000 MB |
40,000 MB |
| POP
E-Mail Accounts: |
100 |
200 |
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the plan you would like: |
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E-Mail Preference:* |
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Once you have your own website name, for no
additional charge, you can have one or more e-mail accounts
setup that use the website name, such as
contact@mycompany.com or
info@mycompany.com
or
sales@mycompany.com. We usually recommend creating an
account such as one of these because it is more professional
for people to reach you from your website. It can begin
with anything you'd like and will end in the @ sign and
whatever your website address is. Please specify what
beginning you'd like for your e-mail address:
@mycompany.com
(whatever your web address is)
(Fill in "info" or "contact" or "sales" or some other
generic department name) |
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| Current
Hosting Company: |
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If you are currently using a
different hosting company, please supply the hosting company
name and phone number. If we need access to the current
website files, please supply the current user name and
password provided by your current hosting company. (If you
are unsure of these details, you may furnish them later.)
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| Optional
SSL Certifiicate for a Secure Form:* |
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If you currently have or
plan to soon have a secure form (where information such as
credit card numbers may be securely submitted), then you
need an SSL (Secure Sockets Layer) certificate to make the
form secure. We offer this service for $10 per month.
Please sign me up for the $10 monthly SSL Certificate usage
to make my form secure. I understand this service may be
cancelled at anytime. |
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| Payment
Options:* |
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Please specify from the two
payment options below:
Payment Option #1:
Monthly Invoice
Payment Option #2:
PayPal
- Click here to sign up for PayPal
Payments. |
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| Comments: |
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