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Sign up - Dedicated Server Sign up Form-

Thank you for choosing Hosting-Web-Sites. Please fill out our quick easy order form. For any questions you might have in each section of the form, please click "Help" in that section, if that does not answer your question, feel free to contact us.

Section 1 - Customer Data Help

Contact Name:

Business Name:

Type of Business:
If other, please specify:

Business Address:

Address:
Apt. or Suite:
City: State ZIP Code

Country:

Daytime Phone:

Other Phone:

Fax Number:

E-Mail address:

Are you a current customer? Yes No

How did you learn about Hosting-Web-Sites.com?

If your answer were "other", where/what was it?

If your answer were "referred by someone", who was it?

Section 2 - Account Data Help

Account Plan:

Account Server:

Account Name:

Password:

Domain To Register (max 28 characters, not including domain type):

New Domain or Modified Domain?
New Modified

Alternate Domain To Register:

New Domain or Modified Domain?
New Modified

Microsoft Frontpage Extensions: Yes No

Secured Server Access: Yes No

Section 3 - Financial Data Help

Line Capacity Rack Fee Plan Monthly fee
0.5 Mb/s
$60
 $210.00
1Mb/s $335.00
2Mb/s $670.00
3Mb/s $1005.00
4Mb/s $1340.00
5Mb/s $1650.00
6Mb/s $1980.00
7Mb/s $2310.00
8Mb/s $2640.00
9Mb/s $2925.00
10Mb/s $3250.00
11Mb/s $3575.00
12Mb/s $3900.00
13Mb/s $4225.00
14Mb/s $4550.00
15Mb/s $4725.00
16Mb/s $5040.00
17Mb/s $5355.00
18Mb/s $5670.00
19Mb/s $5985.00
20Mb/s $6300.00
40Mb/s $9000.00
60Mb/s $12000.00
100Mb/s $18500.00
200Mb/s $35000.00
Server Equipment Server Monthly Fee
Set Up fee
#1 Intel 700mhz PIII, 256mb ECC-133SDRAM, 9GIG SCSI
$115.00
$299.00
#2
Intel 1000mhz PIII, 256mb
ECC-133SDRAM, 9GIG SCSI
 $175.00
#3
Intel 1000mhz PIII, 512mb
ECC-133SDRAM, 9GIG SCSI
 $225.00
#4 1.2ghz PIII, 256MB ECC-133SDRAM, 9GIG SCSI $275.00
#5
 Intel 1000mhz PIII, 512mb
ECC-133SDRAM, 2x18GIG SCSI		 $305.00
#6
 Dual 1000mhz PIII, 1gb
ECC-133SDRAM, 2x18GIG SCSI		 $345.00
#7 Dual 2000mhz P4, 1GB 800mhz ECC-RAMBUS, 2x18GIG SCSI $425.00
#8 Dual 1200mhz PIII, 1GB ECC-133SDRAM, 2x18(36)GIG SCSI $500.00
#9 Dual 2000mhz P4, 2GB 800mhz ECC-RAMBUS, 2x18GIG SCSI $600.00

Total Now Due for a Dedicated Account:

Rack fee $60 + The Line Capacity of your choice monthly Fee + The one time Set up fee - $299 + The Server of your choice Monthly Fee

Monthly Fee :

Rack fee $60 + The Line Capacity of your choice monthly Fee + The Server of you choice Monthly fee

Section 4 - Payment Data Help

I will be paying by:
Check Money Order Credit Card

If Paying by Credit Card, we accept : Visa, MasterCard and American Express

To pay by credit card for your initial payment or your monthly payments, you will have to fill out our Credit Card Authorization Form. This form MUST to be signed and faxed to us before we can begin to process your account.

Click here to get our Print-and-Fax Credit Card Authorization Form.

Credit Card Number: Example: 1234-5678-1234-5678

Expiration Date: Example: 01/97

I wish to be billed each month for my account by:

Automatically billing my credit card each month
Mailing me an invoice to the address above

Section 5 - Additional Information Help

Additional Domain Names
New Modified
New Modified

E-Mail forwarded off site?
Yes No

If "Yes", E-Mail Address to forward to:

I have read and agree to the Acceptable Use Policy
http://www.Hosting-Web-Sites.com/aup.html
This field MUST be marked "YES" for your account to be processed

I have read and agree to the Billing Policy
http://www.hosting-Web-Sites.com/hosting/billing.html
This field MUST be marked "YES" for your account to be processed