FriendlyHost Order Form (Unsecured Version)

Please fill out the form below accurately and completely. All information is required for service with FriendlyHost and will be used for order processing only. (For additional information, see Privacy Statement).

Your E-mail Address:
Full Name:
NIC Handle (if known):
Company Name (if applicable):
Address 1:
Address 2:
City:
State/Province: Zip:
Country:
Phone (Include country/area codes):
Fax (Include country/area codes):

Domain Name (ie., thisismydomain.com) Platinum Plan or Domain Parking Only:

Is this a new Domain?
Yes, and I have made sure it is available (You will need to add $70.00 to pay for the 2-year domain name registration
No, and I will contact my old host to authorize/request the transfer of my domain

Primary UserID Desired (ie., primary@yourdomain.com) Platinum Plan Only:
3-15 characters

UserID Desired (ie., http://FriendlyHost/userid) Gold, Silver, and Bronze Plans Only:
3-15 characters

Do You Want FrontPage Enabled? (See Features Page for information) Platinum Plan Only:
Yes

Do You Want Access to Secure Server? (See Features Page for information) Platinum Plan Only:
Yes

Type of Service Desired:

Method of Payment (Please check one):

Paid by Check Online

For faster processing, clients are encouraged to make initial payment immediately using i-Check at this address. You may also use it for subsequent payment for services at FriendlyHost.

Email Bill
Mail Bill to Address Above
Fax Bill to Fax Number Above
Will Use PayPal

E-mail bills are free. Printed or faxed bill are $3.00 (US currency) per billing period for US, Canada, and Mexico, and $5.00 (US currency) per billing period elsewhere. Checks or money orders should be made payable to: A Touch of Classics.

United States residents may also now use PayPal to make payment by either check or credit card. Just click on the banner below:

Note: Payment must be received before account will be set up.

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By clicking Submit, you agree to accept the terms stated in Fine Print. You also affirm that the information on this form is complete and that you are authorized to enter into this agreement. REQUEST FOR CONFIRMATION WILL BE SENT TO THE EMAIL ADDRESS ABOVE BEFORE THE ORDER FORM IS PROCESSED.
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