| Take
the first step in building your Internet presence by completing
this order form. You don't even have to pay until you're all set
up and online with a hosting package that you build yourself right
here! |
| DOMAIN
information |
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Domain
name: |
www.
.
* |
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choose
one: |
1-
new domain |
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2-
existing domain, keep existing registrar (you pay their registration
fees) |
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3-
existing domain, transfer registration to dotWorks |
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If
option 3 is selected, you must fill out the following registrar
information: |
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Registrar
URL: |
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We
need this information if you're transferring your domain registration
to us. Incorrect account/password will delay your hosting setup. |
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Your
registrar account name/number: |
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Your
account password: |
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| HOSTING
information |
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Build
your ideal hosting plan! |
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Base
Package |
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5 Email Boxes - IMAP/POP/SMTP (+ $5/mo) |
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Java Servlet/JSP
Support (+ $5/mo) |
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Enterprise Java Beans (J2EE) support (+ $10/mo) |
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Package
Cost |
One-time
setup fee: |
$
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Monthly
Rate: |
$
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By
checking here you acknowledge rate and setup costs |
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Invoice
Type |
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Billing
Cycle |
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Create
your email accounts (optional-can be done later) |
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Account
1 Name: |
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Account
2 Name: |
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This
section only applies if you've selected to add Email to your hosting
package above. |
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Account
3 Name: |
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Account
4 Name: |
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Account
5 Name: |
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| CONTACT
information |
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Please
complete the following for our records. |
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Contact
Name |
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optional |
Company
Name |
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Address |
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City |
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State |
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ZIP |
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Phone |
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Important:
You will receive information instructing you on using your new hosting
account via this email. Make sure it is valid! |
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Email
Address |
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optional |
Secondary
Email |
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optional |
How
did you hear about us?
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If
another dotworks customer referred you, enter their name or domain
name |
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and
they'll get a month's base hosting cost free! |
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| Click
Here To Submit Your Order! >> |
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| *
NOTE: Our hosting package includes registration for .com, .net,
.org, .biz, and .info domains. You must pay separate registration
fees for all other domain types. |
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