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Byte Shop Hosting Form

Please complete the following information for you website hosting with the Byte Shop. Your credit card will not be charged until the hosting start date. Domain name registration willbe billed immediately.

*First Name:
*Last Name:
Title: Company:
*Address:
Address cont:
*City: *State:
*Zip:  
*Phone:
Fax:
*Email Address:  
   
Returning Customer : Yes No
Hosting Start Date:
     
Hosting Plans:
 
$24.95/Mo. - BASIC PLAN: 500 MB Diskspace, Up To 10 E-mail Accounts, Daily Backups
$49.95/Mo. - ENHANCED PLAN: 2 GB Diskspace, Up To 25 E-mail Accounts, Cold Fusion & Daily Backups
$69.95/Mo. - PREMIUM PLAN: 5 GB Diskspace, Up To 100 E-mail Accounts, ColdFusion, Shopping Cart & Daily Backups
$99.95/Mo. - CORPORATE PLAN: Virtual Dedicated Server, 20 GB Diskspace, Unlimited E-mail, ColdFusion, Shopping Cart & Daily Backups
ADDITIONAL OPTIONS: (check all that apply)
$ 8.00/Mo. - TRAFFIC STATISTICS - Up to the minute statistical information about the traffic your website is getting
$10.00/Mo. - SEARCH ENGINE OPTIMIZER - Rate Your Website Higher On Google, MSN & Yahoo!!
$10.00/Mo. - SSL SECURE CERTIFICATE - Keep your customers private data and credit card information secure
$75.00/Hr - WEBSITE MENTORING SERVICE AND MAINTENANCE - Learn anything you want about your website, or have something updated
     
Domain Name:
 
Do you currently have a domain name (ex. www.yourdomain.com)?
Yes No
If yes, where is it registered?
Do you have the login information to manage your domain name?
Yes No
If yes:
username password

If you do not have a domain name do you have some desired names? Since many domain names are unavailable, you will need to list multiple entries. What would you like to call your web site (1 being the most important)?
1.
 
2.
 
3.
 
4.
 
5.
 
     
Email Information
Primary email address requested
example: info@yourdomain.com
Requested password
you can reset this
Would you like this forwarded to an existing email account?
Yes No
If so, what is that email address
Additional emails requested
include passwordand forwarding address if desired.
         
Description Unit Price Qty Total
Two Year Domain Registration Fee $70 1 $
Monthly Hosting Plan (Checked Above):     $
Other Services (Checked Above):     $
  Total   $
       
CARD TYPE: visa mastercard discover amex
Card # card code
Expiration date    
         
   
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