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Web-Host Hosting ORDER FORM

Instructions:
Please fill out order form in its entirety.  When you click the I Agree- Submit Order button on the bottom, your order is sent to Web-Host for immediate processing. Fields marked with a
Required notation are required fields for processing your order. Your order cannot be placed if any required field is missing the necessary information.
 

STEP 1.  Register or Transfer Your Domain

If you would like to register a new domain, click on the Domain Registration link below to see if your domain name is available.  Then register you new domain with Web-Host for just $19.99 per year (you save $15 off Network Solutions' $35 registration fee).

Go to Domain Registration

Once you finish registering your new domain name, return to this page to complete your site order.

STEP 2.  Order Your Web Site Hosting Plan

Domain Information

 

Domain Name: www.

 

 

Required. This is the domain you are creating or moving to Web-Hosts Virtual Hosting, like: yourdomain.com
 

Username:

 

Password:

 

 

Required. A username is used to access your site's control panel and for FTP. Enter a username between 6 and 8 letters and/or numbers only, such as: smith777. We may need to alter your username slightly if another user with your name already exists.
 

Hosting Package:

 

 

Required. Choose the hosting package you would like from the drop-down menu. Hosting Plan Details
 

 

Personal / Company Information

 

Name (First Last):

   Required.

Company:

 

Address:

 Required.

City:

 Required.

State / Province:

 Required.

Zip / Postal Code:

 Required.

Country:

 Required.

Phone Number:

 Required.

FAX Number:

Current EMail Address:

 Required.

Referred By:

 Referral's username.

NOTE: If Web-Host is registering your new domain for you, we will use the above information to register your domain.

 

Billing Information

 

Select Card Type:

 Required.

Card Number:

 Required.

Expiration Date:

 Required.

Name on Card:

 Required.

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