Online Order Form - Web Hosting

ACCOUNT HOLDER INFORMATION:

: Name
: Company Name
: Type of Business
: Address
: City/State/Zip
: Country
: Day-Time Phone
: Fax
: E-mail Address

Order Services

Complete Web Site $3mo
Commercial Web Site $12mo

PAYMENT METHOD #1 - CHECKS-BY-EMAIL:

Information below must be absolutely accurate. Please do not send us a copy of your check. Processing will be performed by our email check system.

: Today's Date
: Name on Check
: Bank Name
: Bank Address
: City/State/Zip
: Account Number
: Check Number
: *Transit Number
: **Federal Bank ID #1
: **Federal Bank ID #2 (If applies)

* The transit # is 9 numbers long. This number is on the bottom of the check. It begins with a leading small vertical line and two dots. It ends with the same mark. The next group of numbers after that, is your checking account number. If there is a group of numbers before the transit number, that is the check number.

** The Federal Bank ID #'s are the small numbers generally near the check number at the top. Sometimes this number is on two lines or, there may only be one number.

PAYMENT METHOD #2 - POSTAL DIRECT MAIL:

Please use our Print and Mail Order Form. Thank you!

REQUIRED BEFORE PROCESSING: Please tell us how you found us.

Search Engine or Directory xxX
Newspaper Advertisement xxx.
Link from Other URL: http:// xx
Other: Please Give Details:xxX

Now, press the SUBMIT ORDER button below.


THANK YOU FOR YOUR ORDER