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High Bandwidth, Quality Services, Rock Bottom low prices. High Bandwidth, Quality Services, Rock Bottom low prices. Check our Special Promote for Great Deals!


Sign up - Virtual 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:

If you choose the plan with a 12 month contract (Our Special Promoteions, click for details) and have registered the free Domain name(s) already, please tell us which one or two.*

Domain 1:
Domain 2:
(For Plan E and F with a 12 months contact Sign-ups.)

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

* Since we need your domain name to set up your account. So if you haven't registered your Free Domains yet and have no exsiting domain, please do so prior to submitting this order form.
If you haven't registered your Free Domains yet but do have exsiting domain(s), you can send us your free domain names in a week after sign up.


Section 3 - Financial Data Help

Details:
A
B
C
D
E
F
Virtual Hosting Setup Fee $25.00 $25.00 $25.00
$25.00
$25.00
$24.00
Virtual Hosting Plan Monthly Fee $25.00 $44.00 $60.00
$90.00
$150.00 $250.00
Total Now Due for a Monthly Account $50.00 $69.00 $85.00 $105.00 $175.00 $274.00


Section 4 - Payment Data Help

I will be paying by:
Check Money Order Credit Card

If Paying by Credit Card, we accept : Visa, Master Card 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
https://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
https://www.hosting-web-sites.com/hosting/billing.html
This field MUST be marked "YES" for your account to be processed