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1stcom Web Hosting 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.

Domain Name: www. REQUIRED Information

Choose "New Domain Registration" below if you are want this domain registered.($12.95 charge 1yr. $11.95 Multiple yrs***)

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 $12.95, 1 Yr.or $12.49 for multiple yrs.*** 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:
Notes/Info Requests

Owner Information

Name (first,last):
Company:
Address:
City, State, Zipcode:
Country:
State (if other than the United States or Canada):
Phone Number:	e.g. (555) 555-5555 x555
Fax:	(Optional)
Please enter an e-mail address below. This address should originate outside of our network, providing us with an alternatative way to contact you via e-mail.
Email:

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 F5 / MVH Internet Services LLC Terms of Service and associated Privacy Policy and I/We am/are submitting this order in accordance with F5 / MVH Internet Services Terms of Service and Privacy Policies. I understand that my credit card will be rebilled on my anniversary date and this is a subscription for service and that all terms apply to any domain I may host with my account. Inserting my name and checking the box is my agreement to these terms and to allow F5 / MVH Internet Services LLC to charge my credit card until I cancel service.
Checking box above and inserting name below is my agreement to accept charges on my credit card until I cancel service.

INSERTING YOUR NAME IN THE BOX PROVIDED IS YOUR ACCEPTANCE OF CHARGES.

Sales	Support	Billing
sales@1stcom.com	Support Request ()	sales@1stcom.com

View our Privacy Policy or Acceptable Use Policy.

No Spam, No Porn. Violators will have their accounts deleted and charges added where applicable.