Domain addition form

DOMAIN NAME REGISTRATIONS & TRANSFERS

REVIEW OUR
PRICING AND SPECIALS

Please note: This order form is for stand alone domain orders, domain additions or domain transfers. To order a domain with a new website account, proceed to the accounts page and select your desired account type.

Domain Name Pricing:

Domain registrations are not refundable. Our servers support all domain names and all third party registries. Domain transfers* from another registry are available for com, net, org, info, biz only. Make sure you are listed as the primary domain name contact. (questions)

CHOOSE YOUR DOMAIN CONFIGURATION
Add the domain to what account?		Username: (if applicable)
Desired Action:		register a new domain name tranfser a previously registered domain to you keep my current registry, but add to my server Note: Your must own your domain to do this and have access to the current registry. We will become your domain registry and control all future renewals through this process. Note: Select this option if you already have a domain name registered somewhere and simply want to add it to your hosting account. There is no registration fee to do this action.
		Confirmed...please proceed below.
Hold, Park or Map:		Hold domain name for later use Park (overlap) on my existing site or server Map to this directory in my account ($1):
		Domain privacy curtain off Domain privacy curtain on ($2 - special offer)

REGISTER DOMAIN TO THIS PERSON OR ORGANIZATION
Current Email Address:
First Name:
Last Name:
Organization: (if none leave blank)
Day Time phone:
Fax Number:
Street Address:
City:
State or Region:	Postal ZIP Code:
Country:
Please enter any additional options, instructions, etc:

CHOOSE YOUR PAYMENT TYPE
Credit card online (secure and encypted): VisaMCAmex Discover Misc: Paypal Account		Credit card offline (call in information): Visa MCAmex Discover Check: Fax in check nowMail (slowest)
about these payment options \| about our security procedures

REVIEW OUR TERMS AND CONDITIONS
Please carefully review our current system and domain name policies and our system contract, then read and acknowledge the following statement. If you have a question please contact us. I Have Read, Understand and Agree to follow your system and domain name policies and system contract. By checking "yes" below I accept the terms, rules, and conditions of these documents, and agree that they are bound to me as a contract. Yes No