Hosting Order Form
New Customers:
Name:
Address:
Email:
Phone:
Fax:
Username:
(LETTERS ONLY)
Password:
Referrer:
Hosting Plan:
Test @ $0.01
HL5 @ $1
H1 @ $2
H2 @ $3
H4 @ $3.5
H8 @ $4
H10 @ $5
R10 @ $7
R20 @ $8
R30 @ $8.5
R40 @ $9
R50 @ $10
M75 @ $12
M50 @ $13.5
M100 @ $15
M125 @ $17.5
M150 @ $20
Domain Name:
http://www.
