This is a Secure Order Form

 
Your new account will normally be activated within a few hours, and in any event no later than 24 hours on weekdays, 48 hours on weekends once we get approval of your credit card.

If you selected "New" for domain name, then we will register your Domain Name for you. A fee of $40.00/good for 2 years will be charged if we register the same for you. This fee includes all InterNIC fees.

You may register your new Domain your self for only $15.00/year  Click Here
Please read the Terms of Service and Acceptable Use Policy 
.Domain Name Alternative   Domain Name
New  
(Choose this option if you want us to register your new Domain Name.)
 I will Transfer 
(Choose this option if you will transfer your Domain Name yourself)
 		Transfer 
 (choose this option if you want us to Transfer your new Domain Name.)
Transfer can only be done when you provide us the account number and password that your registrar gave you.
Select a Plan - and Payment period
.
Select annual payment and have your set up fee waived
Options .  
Windows ServerUnix
ASP (Free ) Real Audio $25.00/mth.(set up $30.00)
CGI-BIN (Free) Real Video $25.00/mth. (setup $30.00)
Front Page Extentions  $ 5.00/mth (when not included in plan) Click here to check if included)
Ms Access $5.00/mth Coldfusion $10.00/mth.(set up $30.00)
Secure Certificate ($200.00/year) Shopping Cart $ 10.00/mth (set up $ 49.00) 
POP3 Email Set up information 
Enter e-mail address required here
(user_name@your_domain_name.com)
 Password for email account desired
If you wish to have your email forwarded enter your forwarding email address here
  

Billing Information
Master card
Visa		 Amex
Bank Transfer. (Bank details will be e-mailed)
(must Pre Pay 12months)
Check (must pay 12months) Money Order (must Pre Pay 12months)

Your Name

Credit Card Number 

Expiry Date (if applicable)

Card Security Code
What is a Card Security Code?

Contact eMail 

Street Address

Address 2

City

State or province

ZIP code

Country

 Contact Telephone Number

Fax Number (optional)

Comments and Special Instructions is any

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