WindsorNET - Domain Name Hosting/Registration Form

What's in a name, everything! With your own Domain Name your telling your customers you committed to the Internet and here to stay. No more long URL's that say you're just part of the crowd, now your URL will identify your company as a major player on the net. With your own Domain Name your URL will look like: www.yourname.com

Domain Name Hosting - $290.00

Price reflects 1 year pre-paid - $50 Setup + $20/mo
A seperate charge of $100 for two years will be billed directly by Internic Registration Services.

General Information:
   Email Address: 

    Company Name: 

         Contact: 

         Address: 

         Address: 

   City, St, Zip: 

           Phone: 
Domain Name Information

Please enter three choices for your Domain Name in order of preference. In the event none of the names are available we will contact you for additional choices.
    First Choice: 
   Second Choice: 
    Third Choice: 
Comment or special instructions:

Payment Information
        Credit Card: Visa  MasterCard  Amex  Discover 

        Card Number: 

          Exp. Date: 
   