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Web-Host
Hosting ORDER FORM
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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.
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STEP
1. Register or Transfer Your Domain
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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.
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STEP
2. Order Your Web Site Hosting Plan
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Domain
Information
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Domain
Name: www.
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Required.
This
is the domain you are creating or moving to
Web-Hosts Virtual Hosting, like: yourdomain.com
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Username:
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Password:
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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.
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Hosting
Package:
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Required.
Choose the hosting package you would like from
the drop-down menu. Hosting
Plan Details
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Personal
/ Company Information
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Name
(First Last):
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Required.
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Company:
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Address:
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Required.
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City:
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Required.
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State
/ Province:
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Required.
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Zip
/ Postal Code:
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Required.
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Country:
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Required.
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Phone
Number:
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Required.
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FAX
Number:
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Current EMail Address:
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Required.
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Referred
By:
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Referral's
username.
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NOTE:
If Web-Host is registering your new domain for
you, we will use the above information to register
your domain.
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Billing
Information
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Select
Card Type:
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Required.
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Card
Number:
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Required.
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Expiration
Date:
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Required.
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Name
on Card:
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Required.
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You
are !
38.107.179.230
38.107.179.230
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