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Reseller's Order Form

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Your E-Mail Address is Required here

Reseller's info

Reseller's ID                        
Reseller's Domain Name
Reseller's Phone Number

 

Information for Domain Name Registration

Organization Name
Full Name
Street
City
State or Province
Zip or Postal Code
Country
Office Number
Fax Number
E-Mail for Billing
Domain Name Wanted 
This Domain Name is

New           Transfer

Please note that Simple Domain Names have mostly been taken.
You should try to be Creative with a Unique Name
to prevent time lost on Submitting a Name that is already taken.
You can do a Simple Search to see, by using Whois

Virtual Plan Wanted

 50 MB Virtual Website for 3 Months Service
 50 MB Virtual Website for 6 Months Service
 50 MB Virtual Website for 12 Months Service
 100 MB Virtual Website for 3 Months Service
 100 MB Virtual Website for 6 Months Service
 100 MB Virtual Website for 12 Months Service
 200 MB Virtual Website for 3 Months Service
 200 MB Virtual Website for 6 Months Service
 200 MB Virtual Website for 12 Months Service
 400 MB Virtual Website for 3 Months Service
 400 MB Virtual Website for 6 Months Service
 400 MB Virtual Website for 12 Months Service
 One time Account Setup Fee $29.95

How are you Paying?

Please include any particulars you want for the new domain, such as the address, name and billing E-Mail you want to show in the whois database?


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