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  Web Hosting Order Form
First Name:      

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Domain Name

If you need a domain name Click here to find the available name of your choice, then enter it in this box.
 

Already have a domain you want to use?  Enter it here.  

Desired Name and Password

What User Name would you like?   Your User Name must be between 5-8 letters. 

Re-enter User Name

Desired Password

Web Builder

  

Would you like to use our web site builder to build your web site?

  

 

Will you be using Front Page to build your web site?

  

 

 

Additional Information

How did you hear about our services? 

Were you referred by a current customer? Please enter the customer's name or domain name so we can give him or her a free month of service as a thank you.

Agreements

  By checking this box, I acknowledge that I have read both the Terms of Service and the Acceptable Use Policy and I fully agree with all statements, terms and conditions listed in the Terms of Service and Acceptable Use Policy. 

Use of any aspect of WebsiteforMe.com's services constitutes acceptance and agreement to the Acceptable Use Policy and Terms of Service.