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DOMAINS
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Server Order Form
Please enter the information below to set up your new server.
Contact Information
Organization Name:
Contact Name:
Street Address:
City / State / Zip:
Country:
Please Select
United States
Canada
United Kingdom
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
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Ethiopia
Faeroe Islands
Falkland Islands (Malvinas)
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey, C.I.
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey, C.I.
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Dem. People's Rep of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao Peoples Democratic Republi
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia, Fed. States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherland Antilles
Netherlands
Neutral Zone (Saudi/Iraq)
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Panama Canal Zone
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.A.E.
U.S.Minor Outlying Islands
Uganda
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands, U.S.
Wallis and Futuna Islands
Western Sahara
Yemen, Republic of
Yugoslavia
Zaire
Zambia
Zimbabwe
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
:
1
2
3
4
5
@ $99.00 Per Month / $0 Setup
Managed Server
:
1
2
3
4
5
@ $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:
United States
Canada
United Kingdom
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Faeroe Islands
Falkland Islands (Malvinas)
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey, C.I.
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey, C.I.
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Dem. People's Rep of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao Peoples Democratic Republi
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia, Fed. States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherland Antilles
Netherlands
Neutral Zone (Saudi/Iraq)
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Panama Canal Zone
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.A.E.
U.S.Minor Outlying Islands
Uganda
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands, U.S.
Wallis and Futuna Islands
Western Sahara
Yemen, Republic of
Yugoslavia
Zaire
Zambia
Zimbabwe
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).
Your IP 18.116.52.29 is being recorded for verification.
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