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User and Domain Information

-Fields in bold are required to set up your web hosting account

Domain Name

Search for my domain.

My Domain is


If this domain is a new domain, We will register it for free. If you have registered it at Fulldns.com, we will credit the registration fee into your account.

User Name (6-8 char)

Low case, alphanumeric only, no punctuation characters. This is not the account login id. It is just for the default email box.

Password (6-8 char)

We can generate a random, secure password for you. You will recieve it with your confirmation email.

Re-enter Password

Package

Contract Length

Install Frontpage Extensions?

Owner Information

Name (First Last)

Company

Address

City, State or Province, Zip Code

Country

Phone Number

Fax (Optional)

E-mail

Off Network E-mail

Payment Information

Payment Method

Credit Card Type

Card Holder Name

CC Number

Verification Number

Expiration Date

(i.e. 02/2003)

Billing Address

City, State, Zip

Country

	I have read and accept the policies of Host-Host as described in the Members Agreement. I understand that failure to read and follow the policies set forth may result in the disabling or termination of my account.

We respect your privacy: Host-Host.com will not sell, and will not knowingly disclose any customer's information, including email addresses, phone numbers, etc... unless this is required by government law enforcement authorities. However, if you register a domain name or we register your domain name on your behave, your admin information may be disclosed by the WHOIS database.