Contact Information

Organization Name:

Contact Name:

Street Address:

City / State / Zip:

Country:

Telephone Number:

Fax Number:

Current Email Address:

If possible, please do not list an email address at the domain being set up.

New Account Information

Primary Domain :

Password :
(5 to 15 characters)

User Name :
(5 to 8 characters)

Confirm Password:

* You will need the above user name and password to administer your account.
Passwords are 5 to 15 characters. Valid characters are: aA-zZ, 0-9, ! # % ^ & *

Select Server

Optional features can be added or removed at any time with a prorated refund.

Please select a server by checking the appropriate box below.

Virtual Server:

@ $99.00 Per Month / $0 Setup

Managed Server:

@ $375.00 Per Month / $195.00 Setup

Server Mirroring:

Yes No

* Server Mirroring uses 2 separate servers (both hardware and software) in different data center locations on completely different networks to improve load handling, and ensure 100% server and network uptime. If one server or network fails, the other automatically takes over, resulting in no downtime.

* PHP 7 is here! Our new servers use an updated 4Admin™ control panel with PCI-DSS compliant software such as TLS 1.3+/OpenSSL 1.1 (required for services such as PayPal and credit processors as of June 30th 2018) and is strongly recommended. Click here for more information.

* All new Virtual and Managed Servers will be created as PHP 7 servers by default after purchase.
* Current new signup server PHP version is 7.4

Monthly Fee:

Setup Fee:
(One Time)

Total Cost: $

*** For the highest security, we do not provide Telnet/SSH access.

Additional Comments

Please enter any special instructions or comments below (optional):		Were you assisted by our staff? Yes No How did you hear about us? If you were assisted by our sales staff, please include the representative's name above if known.

Payment Information

My billing name and address are the same as my contact information.

Billing Name:

Billing Address:

City:

State/Province:

Zip/Postal Code:

Country:

Payment Type:

Credit Card

Check (U.S. Only)

1. Please read the Service Usage Policy by clicking here.

2. Please read the Internet Service Agreement by clicking here.

	I have read, understood, and agree to the terms in items 1 and 2 above.

	I request the sum of $ USD to be charged to the above account. I also authorize the above account to be charged the sum of $ USD plus any applicable over limit bandwidth charges on a recurring monthly basis.

	Save my profile for future orders (credit card data will not be saved).


		Process

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