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Web Hosting. For whatever reason people need to get to your web site, we'll make sure it's there for the world to see (it's that Always On thing).

Web Hosting Sign-up
Required fields labeled in black.
CUSTOMER INFO
Your Name:
Business Name:
Billing Address:
Address 1:

Address 2:

City:
State
Zipcode:
Phone:
E-Mail Address:
Domain to be hosted:
Need to register a domain? Yes  No

SELECT HOSTING PACKAGE
I would like the following web hosting package:
Select a package:
Custom/Other
(Please describe*):
*The pricing for custom hosting will be determined by opus:interactive. You will be provided with an estimate based on your specific hosting needs.
BILLING
Bill me every: Month
6 Months (semi-annually)
Year (annually)
I would like to pay by: Credit Card
Check
Pay Pal each month

DOMAIN OPTIONS
I would like the following domain options in addition to what the package includes. Select all that apply. (A $10 maintenance fee will be assessed to your account each time you request additional domain options (i.e. sub-domains) after the initial setup of your account.)
Domain Parking (point other domain names to your web site):
domain name(s) x $3.00 per month*
Domain Name Registration (we register and manage a domain for you):
domain name(s) x $19.95 per year*
EXTRA HOSTING OPTIONS
I would like the following hosting plan options in addition to what the package includes.
(select all that apply).
Additional Disk Space:
extra disk space at $0.10 per MB per month*
Extra Data Transfer:
Gigabytes x $10 per Gigabyte per month*
Add Virus Filtering: (Windows only)
Extra Microsoft SQL Database: (Windows only)
database(s) at $25 license per month*
  Notes:
Please add any information that will help us fullfill your order(i.e. sub-domains you would like created, etc):
Special Code:
(optional)

(i.e. Discount, Partner, or Referral Code.)
*opus:interactive will contact you to verify the details for each additional option you wish to order.

SHARED HOSTING AGREEMENT
By submitting this form or by using opus:interactive hosting services, Customer agrees to the terms and condition in this Shared Web Hosting Agreement