Secure Order Forms
Virtual Secure Online Order Form
1. Fill in the information requested below.
2. Select desired website plan from the choices below.
3. Click the "Add to Your SHOPPING CART" button

The "CHECK OUT NOW" option on the next screen will
take you to a SECURE ORDER FORM to process your order.

Company Name:
First Name:
Last Name:
Address:
City:
State/Province/Territory:
Country:
Zip/Postal Code:
Phone:
Fax:
E-mail:
Enter your Domain name: ie. yourdomainname.com
Domain Name:
Required by the InterNic for new Domain registrations.
Purpose of Domain:
choose eight characters and numbers - ie. passwd23
Password:
Where did you find our site?  We appreciate your input.
Site found at:
Enter your comments & special instructions here:
Comments:


Do you want FrontPage installed?
Yes, I use FrontPage to publish my website. (Free)
No, I do not use FrontPage

Select Virtual Domain Plan Desired:
150 MB Virtual $29.95 p/mth x  3 mths service = $ 89.85
150 MB Virtual $24.95 p/mth x  6 mths service = $149.70
150 MB Virtual $19.95 p/mth x 12 mths service = $239.40

300 MB Virtual $39.95 p/mth x  3 mths service = $119.85
300 MB Virtual $34.95 p/mth x  6 mths service = $209.70
300 MB Virtual $24.95 p/mth x 12 mths service = $299.40

Select Domain Name Action:
New Domain name registration (one-time fee - $29.95)
Transfer of an existing Domain name (one-time fee - $29.95)

One Time Set up Fee of your account (one-time fee - $29.95)

Click on the "Add to Your SHOPPING CART"
to process your order on our Secure Server.