Personal Information:
(Read our
Privacy Policy)
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Name: |
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Address: |
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City, State Zip: |
,
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Phone Number: |
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Email: |
(This must be a working email
address, otherwise we will not
be able to contact you when your
site is up.) |
Web Site Options:
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Desired URL
(domain name):
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http://www.
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Domain Registration: |
Have your
registered your domain?
Yes
No
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Desired
Password:
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Retype
Password:
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Site Size: |
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Optional
Features:
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Setup
Fee
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Monthly
Fee
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Dedicated
IP Address
(Requires one of the
features below.) |
0 |
5
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Anonymous
FTP |
0 |
0
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SSL
Fill out SSL Information Form
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30 |
0 |
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MySQL
Database
Database Name: |
0 |
0 |
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DailyStats |
5 |
0 |
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FrontPage Features: |
Turn
on FrontPage Extensions
I
plan to use FrontPage to publish
my web site. |
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Support
FrontPage
Sub-web |
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Child Site Sub-domain |
0 |
0 |
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FrontPage Sub-web/Sub-domain |
5 |
0 |
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Sub-web Name: |
Other Information:
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A brief
description of your web site:
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How did you hear
about us?
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Agreements: |
I
have read and agreed to the
Terms of Service.
I
have read and agreed to the
Acceptable Use Policy.
I
have read and agreed to the
Satisfaction Guaranteed.
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Payment Method |
Recurring PayPal Payment
(Hosting Fee discounted 10%!)
One-time PayPal payment
Other
(Check or Money Order) |
Totals:
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Total Setup
Fees: |
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Total Monthly Fees: |
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Total Due After Sign-up: |
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