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Website Order Form

Great News! We have added an option for a whopping 50% discount off your monthly hosting fees. (as low as $25/mo) This is an online offer ONLY . If you elect not to take advantage of it at this time, that's OK, however this offer will no longer be available to you in the future . Once you have completed and submitted this information form, you will be forwarded to the order page to choose your actual website and see the discount options.

Please complete this information form completely and click "SUBMIT".
You will then be taken to the ORDER page to select your exact website content and hosting fee.


How did you hear about us?
Your Email Address?
First Name?
Last Name?
Social Security / Tax ID #?
...Required for U.S Citizens
Address?
City?
State/Province?
Country?
Zip/Postal Code?
Phone Number?
Fax Number?
Your domain name choices?

Check availability here.
For example...
www.yourchoicehere.com

If all your choices are taken, you will be notified by e-mail to make more choices.
Please only use .com or .net for your choices. Disregard this next step if you are ordering a 900/800 number combination only.




- I want ABC to select my domain name for me
Affiliate Program - Extra Revenue Options - Yes. I want to join your FREE affiliate program
Name Entry required * You must enter your name below acknowledging and agreeing to the terms of this agreement. Else, this agreement is null and void and will not be processed.
I, have
read the terms of this agreement and agree to them.
E-mail Promo Number

Any Comments?

Also use the area below for any comments or to inquire about ordering other programs other than those on the order form. Be as specific as possible.


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