Section 1 - Customer Data

A. Enter the full name of the person who will be the contact for this account.
B. Enter your company's full business name (if applicable)
C. Select the nature of the business that is requesting this service.
D, E & F. Enter your billing address.
G. Enter your phone number.
H. Enter another phone number for contacting you (Billing Phone Number).
I. Enter your fax number. (if applicable)
J. Enter your E-Mail address.

Section 2 - Account Data

A. Enter the account name.
• The account name is generally associated with the company name or administrator's name. This will be the login name that you will us to access your account. Subject to availability
B. Enter the account password.
• The account password has to be eight (12) characters or less. Numbers, letters and symbols should be mixed for a secure password. Account passwords are case-sensitive.
  Please make your password as secure as possible. Your account is only as safe as your password! Avoid using short passwords such as bob. The best password to use would be something like T.`a8V*z1$
  While this may be more difficult for you to remember it is much more secure.
C. Enter the domain name to register.
• It can be up to 28 (excluding the domain type, i.e. ".com" or ".net") characters and including letters, numbers and the "-" (dash or hyphen) symbol.
D. Select whether the domain name is a modified domain or a new registration.

• Modified domains are existing domains which are having their administration/contact information changed.
  New domains require an activation fee of $70.00 for two years (this includes old domains which had previously expired). Domain names are renewed at a cost of $35.00 per year after the second year.
  InterNic will bill you directly for any and all registration fees.
E. Select one alternate choice for a new registration.
• This is in case your first choice is taken.
F. Select Yes or No if you need to be placed on a server with Microsoft Frontpage Extensions
G. Select Yes or No if you need encrypted or secure transactions.
• We use the Netscape Secure Commerce Server. If your customers are transmitting credit card numbers or passwords, this will encrypt them.

Section 3 - Financial Data

• ALL ACCOUNTS REQUIRE AN ADVANCE PAYMENT FOR THE SET UP AND THE FIRST MONTHS HOSTING FEES!
  

  Total Now Due for a Dedicated Account:
  Rack fee + The Line Capacity of your Choice monthly Fee + The one time Set up fee + The Server of your Choice Monthly Fee

  For Example,if you choose the Line Capacity of 6Mb/s plan, and the Server # 2, your totaly now due would be
  
  

  Rack fee	+	Line Capacity	+	Set up fee	+	Server	=	Total Now Due
  $60	+	$1980.00	+	$250	+	$250	=	$2540

  Monthly Fee :
  Rack Fee + The Line Capacity of your Choice monthly Fee + The Server of you Choice Monthly fee
  

  In the example as above, your monthly fee would be
  

  Rack fee	+	Line Capacity	+	Server	=	Total Now Due
  $60	+	$1980.00	+	$250	=	$2540

Section 4 - Payment Data

A. Select the type of payment you will be making.
• If you are paying by company, personal check or money order, your account will be set up when your payment is received.
• If you are paying by Credit Card, you will have to fill out the Credit Card Authorization Form. There is a link to this form and it must be signed and faxed back to us before your account will be set up.
• Enter the credit card information for verification.
• Select whether you would like to be billed on your credit card monthly.
  - This is the AutoBill Program so you would select "Yes"
  or whether you would like to receive a monthly invoice.
  - You would check "No" to receive a monthly invoice.

A. Use this area to list additional domain names that you would like registered.
• Their is a $25.00 charge per month for additional domain names.
B. Please select whether you would like your email left on the server, or forwarded to an offsite email address.
C. Please let us know what address you would like your mail forwarded to.
D. Acceptable Use Policy Agreement

• Check the "yes" button option stating that you agree
E. Usenet New Policy Agreement

• Check the "yes" button option stating that you agree