WEBMASTERS.COM Hosting Order Form (Check)

DOMAINS

WEB HOSTING

SERVERS

Enter the information below to create a new hosting account. If you do not have a domain name already registered, please click here prior to completing this form.

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

Domain:

Password:
(6 to 15 characters)

Username:
(5 to 8 characters)

Confirm Password:

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

Hosting Features

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

Business Hosting: $9.95/month

Unique IP Address:

$5.00

BackupMail:

$5.00

Monthly Cost: $

Annual Cost: $

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

Additional Comments

Please enter any special instructions or comments below (optional):

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:

Check Type:

NOTE :
Even though we require annual payment, you can cancel at any time and receive a full refund for the remaining term (calculated instantly by our online cancellation form). If you cancel within the first 30 days for any reason, you will receive a 100% refund.

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.

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

Submit
Your IP 216.73.216.158 is being recorded for verification.

Traffic Partners: Website Templates :: Free Videos :: More Traffic Partners >>

We Want to earn your business! Please help us improve by completing our anonymous Visitor Survey.