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1stcom Web Hosting Developer Order Form

Place Order
Domain names must consist of alpha characters, numeric characters, or the minus sign '-'. Other characters are not accepted. Domain Names are not case sensitive. Do not enter 'www' in front of the domain name.

If you would like to sign up for a New Domain, please check the availability of the domain here.

Domain Name: www. REQUIRED Information
Choose "New Domain Registration" below if you are want this domain registered.($17 charge per yr.***)
New Domain Registration Transfer existing domain Don't register me (I will handle my Domain Registration)
Be sure to include extension .com, .net, .org in your domain name above!

New Registrations Only $17 per Yr.*** for .org .com .net
Please select the number of years for which you would like your domain registered.   

***.biz .info $20 per year. 2 yr initial registration. .us $25 per year 1 yr initial registration.

User/Domain Information
The user name must start with alpha characters and consist of alpha characters, numeric characters, the minus sign '-' or underline '_'. Alpha characters must be in lower case. The length of User Name should be no more than 8 characters.
User Name:
Domain Package:
Contract Length:
Additional Info........
Owner Information
Name (first,last):
City, State, Zipcode:
State (if other than the United States or Canada):
Phone Number: e.g. (555) 555-5555 x555
Fax: (Optional)
Please enter an additional e-mail address below. This address should originate outside of our network, providing us with an alternatative way to contact you via e-mail.
Off Network Email:
InterNIC Contact Information
Please do not change this section unless you would like to fill in specific Contact information for the InterNIC registration.
Use the information above for the Administrative Contact information.
1stcom Technical Contact.
Payment Information
Payment Type: Credit Card Check ( Only if paying yearly.)
If you pay by credit card you will be able to enter securely your credit card information after this order is submitted and you are redirected to a secure site for credit card information. If paying by check we will send you additional information.

Agreement: I/We have read and understand 1stcom’s Terms of Service and associated Acceptible Use Policy and I/We am/are submitting this order in accordance with M&S Technologies Terms of Service and Acceptible Use Policies. There are NO refunds for domain name registrations. I understand that my credit card will be rebilled on my anniversary date until service is properly cancelled and that all terms apply to any domain I may host with my account. Submission of this order form constitutes our agreement to these terms. Checking this box is your Electronic Signature to all billing and conditions.

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