Domain registration & Hosting order form

Customer Information  

Domain Name:

Name: 
Company Name: 
Address: 
City: 
State:
Zip Code: 
Phone: 
Email: 

Billing Address (if different from above)

Billing Name: 
Billing Address: 
Billing City: 
Billing State: 
Billing Zip: 

Domain Name Registration

Domain Registration  Free Registration Annual Fee $25 Total Due $25.00

Hosting Plan

Virtual Domain Hosting Account $25.00/month Set-up $25.00 Total Due $50.00

Billing Cycle

Payment Method
Pay Pal (Credit Card or Electronic Transfer)     

Check/Money Order (Webster Communications will set up your account upon receipt of your check)

Please remit Payment to:
Webster Communications
18804 Keiffer Way
Montgomery Village, MD 20886-3154

(Please include the domain name of your account with your payment, otherwise, the processing of your account may be delayed!)

Additional Comments: 

Thank you for choosing Webster Communications

 

Please note: Webster Does Not Host Adult Oriented Sites, and Does Not Allow Sending of Unsolicited Email (SPAM) First offense will result in immediate termination of account. If this occurs the unused portion of your account will not be refunded. Webster reserves the right to cancel your service with NO refunds should either of the above occur.

Copyright © 2005, Webster Communications,  All Rights Reserved.

 

 


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