Hosting Order Form
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Domain names must consist of alpha characters, numeric characters, or the minus sign '-'. Other characters are not accepted. Domain Names are not case sensitive. Do not enter 'www' in front of the domain name. New domain registrations take 24 to 48 hours to complete.

A domain which ends with .com, .net or .org can be registered automatically.

Domain registration for other countries will be done on our nameserver, but the client is responsible for contacting the NIC in the respective country to complete the registration for other countries.
Enter Domain Name to be used below.

Domain Name: www. (Add .com, Net, .org, etc.)
Choose "New Domain Registration" below
if you are registering the domain for the first time.
New Domain Registration *** (additional fee applies see below)
Transfer existing domain (Transfer from another host via network solutions)
Don't register me (I will handle my Domain Registration)
*** New Registrations Only ***
 
Please select the number of years for which you would like your domain registered. $20/yr.
User/Domain Information

The user name is the name you will use to access your site's control panel and ftp connection. It must start with alpha characters and consist of alpha characters, numeric characters, the minus sign '-' or underline '_'. Alpha characters must be in lower case. The length of User Name should be no more than 8 characters.

User Name:
Domain Package:

Texas Residents subject to sales tax. Please pick domain with -TX extension . Not doing so may result in immediate cancellation.
Contract Length:
Comments:
Owner Information
Name (first,last):
 (No foreign characters: á,ñ,ó)
Company:
Address:
City, State, Zip Code:
Country:
State (if other than the United States or Canada):
Phone Number:
 e.g. (555) 555-5555 x555
Fax:
 (Optional)
E-mail:

If entering an email with the same domain as above:
Please enter an additional e-mail address below. This address should originate outside of our network, providing us with an alternative way to contact you and to send you the information
regarding this order. (Your current email address)
Off Network E-mail:
Contact Information

We recommend you do not change this section unless you would like to fill in specific Contact information for the InterNIC registration.
Use the information above for the Administrative Contact information.
Use the information above for the Billing Contact information.
Have us be your Technical Contact. (Recommended)
Payment Information
Please input your Credit Card information.
Credit Card orders will be processed immediately.
Payment Type:
 Credit Card
Card Type:
Name on Credit Card:
Card number:
e.g. 4123456789101234 (No dashes or spaces)
Expiration date:
 / MM/YEAR
CSID:
 What is CSID?
Note: The next screen will show you your total where you will be able to confirm your order. Our billing cycle begins on the 2nd of every month, therefore you will be charged for your first month plus your prorated rate from today until the 2nd of next month. After that you will be billed on the 2nd of every month.