Hosting Order Form
New Customers:
Name:
Address:
Email:
Phone:
Username:
(LETTERS ONLY)
Password:
Referrer:
Hosting Plan:
Test @ $0.01
HL5 @ $2
H1 @ $4
H2 @ $6
H4 @ $7
H8 @ $8
H10 @ $10
M50 @ $13.5
R10 @ $14
M100 @ $15
R20 @ $16
R30 @ $17
R40 @ $18
R50 @ $20
M75 @ $27
M125 @ $30
M150 @ $40
Domain Name:
http://www.