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This is a Secure Order Form
Please complete the following information, we will need it to set up your account. and to register your domain with interNic.
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 are setting up a new DomainYou will be billed directly by InterNIC for the $70.00 Domain Registration Fee, there is no charge for transfer of existing Domain.

.Domain Name Domain Type/ Contact

I will transfer/register my domain myself
click her for DNS information
New -Register my domain for me
Transfer-Transfer my domain for me
Alternative   Domain Name
Your contact email address
Select a Plan - and Payment period
.

Select annual payment and have your set up fee waived
General . eCommerce Options

ASP (Free )

Merchant Account Application (Free)

Ms Access $5.00/mth

Real Time Transaction $895.00*

Front Page ($5.00)

Secure Certificate ($175.00/year)

Real Audio $25.00/mth.(set up $30.00)

Shopping Cart $ 10.00/mth

Real Video $25.00/mth. (setup $30.00) ColdFusion $10/mth (setup $30.00)
CGI-BIN (Free)   Email boxes $5.00 each additional
Stats  $5.00/mth($ 30.00 one time charge)

Site Promotion.

Site promotion basic ($125.00) Site promotion Advanced $2500.00(annual)
Submit your site to 100+ SE and links, one URL 4 times in the year. Billing $1460.00 at order balance in 11 monthly paymnts of $140.00/mth
*    Subject to approval

Set up information all fields are necessary

Enter e-mail address required here
Password for email account desired
Forwarding address in any
Comments special instructions
Billing Information and    payment Options (select one)
Master card
Visa
Amex
Wire Transfer (our bank details will be emailed)
Check (must pay 12months) Money Order (must  Pay 12months)
Your Name as it appears on your Credit Card
Credit Card Number-if applicable
Street address.(credit card billing address)*
Expire Date
Street 2
Card Security Code
What is a Card Security Code?

City
Telephone Number (Home)

State/province

ZIP

Telephone Number (Business)
Country
Fax Number-Optional
*must be same as the billing address of the selected credit card when payment is made by credit card

Please click only once. This form is encrypted it may take up to 60sec.to process

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