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Order a Premium SSD Hosting Account

Your Welcome Letter information will be presented to you after you submit your web hosting order.
Name:
E-Mail:
Company:
Phone:
Plan to be ordered:
I have read and agree to the terms of service.
Account Transfer: No this is a new account
Yes, Transfer my account from my old provider
Please give the information as it pertains to your old/current webhost:
IP Address:
Username:
Password:
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Domain Name:
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Domain Registration
(.com, .net, .org, .us, .info, .mobi, .biz, .co.uk, .uk, .org.uk, .me.uk, and .name)		No Thanks
1 year 9.99 - USD
Coupon Code:
Referred By:
Comments:
Name on Card
Billing Address:
City: 
State / Province:
Zip / Postal Code:
Country:
Payment Type:
Credit Card Number: CVC: Exp:

All orders are fraud checked using the WCZ Fraud Check System
You will be asked to confirm your order on the next page
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