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To sign up for hosting, please complete the form below.

You have questions or would like to place your order by phone, please contact our » Sales Department. If you already have an account with us and want to add another domain, please use our » Add Domain Form.

Business Name:

Contact First Name:

Contact Last Name:

Billing Address:





Phone Number:


Special Notes/Organization Description:

Choose Account Type:
Advanced Plan $29.95/Month
Ultimate Plan $49.95/Month

Microsoft FrontPage Setup - Free
Volano Chat Room $12.00/Month

Other Available Options Can
Be Requested After Signup.

Domain Name Choice:
Register New Domain
      A discounted charge of $30 by credit card is
      required for new domain registrations

Modify Existing Domain
      (transfer existing domain to our server - No Charge)

Domain Name:
(or domain to transfer)
All lowercase - No CAPS

Second choice of domain:
(if above is unavailable)

Desired Password:
Use 8 characters
upper & lowercase, mix with numbers

Where did you find us?

Referred by:

How do you wish to pay?
Credit Card
      (Mastercard, Visa, Discover, American Express)

Check or Money Order
      (Must be received within 10 days and you can fax
       us a copy of check for immediate setup)

Credit Card Information
Card informaton must match bank information

Card Type:
Master Card
Discover Card
American Express

Secure Online
Card number:


Name on Card:

Cardholder Address:

Cardholder City, State, Zip:

Cardholder Phone:

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