Domain Name: www.____________________._______ |
| (Domain
names must consist of alpha characters, numeric
characters, or the minus sign '-'. Other characters
are not accepted. Domain names are not case sensitive.
Do not enter 'www' in front of the domain name.) |
| Please
choose a User Name: _________________________
|
| (The
user name must start with alpha characters and
consist of alpha characters, numeric characters,
the minus sign '-' or underline '_'. Alpha characters
must be in lower case. The length of the user
name should be no more than 8 characters.) |
| HOSTING
PLANS: |
( )
Economy — $14.97/monthly
( ) Economy — $167.64/1
Year
( ) Economy — $301.75/2
Years
( ) Economy &— $427.48/3
Years
( ) Standard — $19.97/monthly
( ) Standard — $239.64/1
Year
( ) Standard — $431.35/2
Years
( ) Standard — $611.08/3
Years
|
( )
Small Business — $29.97/monthly
( ) Small Business —
$359.64/1 Year
( ) Small Business —
$647.35/2 Years
( ) Small Business —
$917.08/3 Years
( ) E-Commerce Deluxe —
$53.97/1 month
( ) E-Commerce Deluxe —
$647.64/1 Year
( ) E-Commerce Deluxe —
$1,165.75/2 Years
( )
E-Commerce Deluxe — $1,651.48/3
Years
|
YOUR
FIRST TWO MONTHS ARE FREE, WITH A THREE-MONTH
GUARANTEE. |
BONUS!!
Get a FREE domain name with every hosting
account one year or longer! 2- and 3-Year
hosting accounts receive an extra discount
of 10% for 2 Years and 15%
for 3 Years!!! |
(Free
domain names are limited to .COM, .NET,
or .ORG domains, due to the vast variation
in price for other domain names.)
|
|
| First
& Last Name: |
__________________________________ |
| Company: |
__________________________________ |
| Address: |
__________________________________ |
City,
State (US & Canada),
& Zip/Postal Code:
|
__________________________________ |
Other
State
(If not USA or Canada): |
__________________________________ |
| Country: |
__________________________________ |
Telephone
Number: |
__________________________________ |
Fax
Number
(Optional): |
__________________________________ |
| Your
E-Mail Address: |
__________________________________ |
Alternative
E-Mail Address: |
__________________________________
(Please enter
an additional e-mail address above if you have
one. This address should originate outside of
our network, providing us with an alternative
way to contact you via e-mail.)
|
|
I understand and agree to Magellan Hosting's
Terms and Conditions (available at http://www.magellanhosting.com/terms.html).
_____________________________________________ Date:______________
Signature |
|
