Virtual Hosting Order Form

Are you using Microsoft FrontPage to author your pages? (Check if Yes)

Domain Name: <http://www.>.

Site Administrator's Email Address:
(This is the address the setup information will be sent to.)

Payment Options: Annual Business Plan $219.45 Premier Plan (Setup + $19.99 Mo.) $54.95 Annual Premier Plan $329.45 Business Plan (Setup + $29.95 Mo.) $44.95 NT Premier Plan (Setup + $39.95 Mo.) $64.95 Annual NT Premier Plan $439.45

There will be a $25 dollar set-up charge on all new accounts. Setup charge and one months
 rental will be waived with 11 months paid up front and in full.  InterNIC charges $70 for the first
 two years of service.  By Submitting this order you hereby agree with the "Terms & Conditions"
 & "Accepted Content & Use" policies of Premier Technologies