Order Basic Web Hosting - EsoSoft Corporation

Basic Web Hosting Service
To order EsoSoft's Basic Web Hosting Service, simply complete and submit this sign-up form. Your service will be available within 24 hours. You will receive a "Welcome E-mail" when everything has been established.

Required fields are in bold.

Contact Information...
	Salutation:
	First Name:
Need Help with this Section?	Last Name:
Need Help with this Section?	Company Name:
	E-mail Address:
	Street Address:
	City:
	State:
	Zip:
	Country:
	Phone:
	Fax:
Payment Information...
	Promotion Code (if any):
	Payment Period:
Need Help with this Section?	Payment Method:
	Credit Card Type:
	Credit Card Number:
	Credit Card Expiration Date:
	Name on Credit Card:
Domain Information...
	Domain Name (for this service):	http://www.
		The domain name entered above is:
Need Help with this Section?		Not yet registered. I understand that EsoSoft will register the domain on my behalf. The charge for domain name registration is $40.00 for the first two years.
		Already registered. I will modify the nameserver information for the domain so that the domain points to the EsoSoft nameservers. I understand that the Order Desk will forward the correct nameserver information to me when my account is created.
Account Information...
	Username:
	Password:
Need Help with this Section?	Forward All E-mail?	Yes No
	If yes above, forward to where?
	FrontPage Extensions?	Yes No
	Web Stats?	Yes No
	Secure Server Option?	Yes (extra charges apply) No
Additional Information...
	How did you hear about us?
	Comments, Questions, Special Instructions:
Acceptable Use Policy...
	Please read EsoSoft's Acceptable Use Policy ("AUP"). Select your response to EsoSoft's AUP below. If you choose "No" your order will not be processed. By selecting "Yes" you acknowledge that you have read and fully understand the Acceptable Use Policy.
	No, I do not agree to EsoSoft's AUP. Yes, I have read and fully accept all the terms in the Acceptable Use Policy.
Submit Your Order...

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