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Plan contact

To order this hosting plan, fill out the form below and it will be a pleasure for us to E-mail you the information regarding your account.

ADMINISTRATIVE CONTACT

*First name:

*Last name:
Company:
*Address:
*City: *Prov./State:
*Postal code: *Country:
*Telephone:
* Please give your area code		 Fax:
* Please give your area code
*E-mail:

TECHNICAL CONTACT
Check if technical contact is the same as the administrative contact.

First name:

Last name:
Company:
Address:
City: Prov./State:
Postal code: Country:
Telephone:
 Please give your area code		 Fax:
 Please give your area code
E-mail:

Plan contact

* Associated domain :
(ex: www.MyOwnDomain.com)

Do we have to care about
domain name transfer :
yes
no

Do we have to activate
Frontpage extensions :
yes
no
* Period : 12 month ( 24.00 $ ) plus applicable tax.
ADDITIONAL OPTIONS
Extra disk space in Gb:
Extra mail account (POP):
Extra domain pointer:
List of extra domain pointer:
(delineated with comas)

By pressing the "Next step" button, you accept the SERVICES AGREEMENT related to a virtual hosting.