Excellent II Order

Contact Information:
Business Name:		Name:
Address:		City:
State:		Zip:
Country: (2 letter)		Phone:
E-mail:
Domain Properties:
Domain Name:		2nd Choice:	(if 1st is not available)
Description & Notes:
Payment Information:
Check or Money Order:	If check, #	Cash:		Bank Transfer:
You will be billed once a month for all your domains. The first payment would be $49.95 + $75.00 (setup) for a total of $124.95 BY CLICKING ORDER, YOU INDICATE THAT YOU HAVE READ AND ACCEPTED OUR Policy and Server Guidelines.

Thank you for your order!