Step 1: Domain Name Information
DOMAIN:
Enter the domain name you would like to use for your website.
We will handle registering/transferring your domain name with InterNIC.
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ALTERNATE:
Enter an alternative domain name you would like to use.
This is needed should your preferred name not be available.
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Your domain name should be 67 characters or less and end with .com,
.net or .org - shorter names (16 characters or less) are recommended. If you are interested in a domain name which has a different extension other than these three from the US InterNIC, please include this request with your order.
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Type of account:
[ ] New Domain
[ ] Domain Transfer
Select New Domain, or Transfer if you are moving your domain to our servers from an existing account. An addtional $48 fee applies for registering a new domain.
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Step 2: Select one of the following Web site packages:
(Every Package Includes A Full 30 Day Money Back Satisfaction Guarantee)
Special Sale Package
-- Includes 300 MB, 8 Gigs of traffic, and 6 mailboxes
Domain name will be - www.YourName.com (Internic fees apply)*
[ ] 12 Months Pre-Paid $215.40 (FREE setup) - SAVE - $46.95
[ ] $17.95 Monthly Plus a one time only $46.95 Setup Fee
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Value Website
Package 1
-- Includes 50 MB, 2 Gigs of traffic, and 1 mailbox
Domain name will be - www.YourName.com (Internic fees apply)*
[ ] 12 Months Pre-Paid $155.40 (FREE setup) - SAVE - $34.95
[ ] $12.95 Monthly Plus a one time only $34.95 Setup Fee
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Small Business Website
Package 2
-- Includes 250 MB, 5 Gigs of traffic, 5 mailboxes
-- Submission to over 400 search engines.
Domain name will be - www.YourName.com (Internic fees apply)*
[ ] 12 Months Pre-Paid $300.00 (FREE setup) - SAVE - $61.35
[ ] $24.95 Monthly Plus a one time only $61.95 Setup Fee
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Webmaster Site
Package 3
-- Includes 350 MB, 5 Gigs of traffic, 10 mailboxes
-- Redirect parked domains to subdirectories
Domain name will be - www.YourName.com (Internic fees apply)*
[ ] 12 Months Pre-Paid $479 (FREE setup) - SAVE - $64.95
[ ] $39.95 Monthly Plus a one time only $64.95 Setup Fee
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E-Cartman Website
Package 4
-- Includes 350 MB, 8 Gigs of traffic, 6 mailboxes
-- Cartman shopping cart
Domain name will be - www.YourName.com (Internic fees apply)*
[ ] 12 Months Pre-Paid $479.40 (FREE setup) - YOU SAVE - $46.95
[ ] $39.95 Monthly Plus a one time only $46.95 Setup Fee
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Ecommerce Lite Website
Package 5
-- Includes 350 MB, 5 Gigs of traffic, 5 mailboxes
-- Miva Merchant shopping cart
Domain name will be - www.YourName.com (Internic fees apply)*
[ ] 12 Months Pre-Paid $359.40 (FREE setup) - YOU SAVE - $76.95
[ ] $29.95 Monthly Plus a one time only $76.95 Setup Fee
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Ecommerce Website
Package 6
-- Includes 350 MB, 8 Gigs of traffic, 15 mailboxes
-- Real Audio/Video
-- Miva Merchant shopping cart
-- Submission to over 400 search engines
Domain name will be - www.YourName.com (Internic fees apply)*
[ ] 12 Months Pre-Paid $599.40 (FREE setup) - YOU SAVE - $76.95
[ ] $49.95 Monthly Plus a one time only $76.95 Setup Fee
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Step 3: Extras/Add-on's
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Quantity |
Item/Description |
Price Each |
Set-up Fee |
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Additional E-Mail Pop3 Account |
$1.00 per month |
$5.00 Ea.
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Additional E-Mail Pop3/FTP Account
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$2.00 per month
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$10.00 Ea.
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Additional Pop/Telnet/FTP Account
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$3.00 per month
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$20.00 Ea.
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Additional Storage -- (10 Meg Blocks)
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$2.50 Per Mo. Ea.
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N/C
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[ ] YES
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Real G2 Capabilities
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$5.95 Per Mo.
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$15.95
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[ ] YES
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Microsoft FrontPage Extensions Installed
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N/C
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N/C
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Step 4: Information and Payment Method:
[ ] Pay By Check
Requires payment of first 3 months (plus setup) in advance, billed quarterly
by email thereafter. Account will be set up after check is received. Total your order (include set-up fees), make check payable to BCSdesign** and mail this form and payment to our address on the top of the first page.
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[ ] Credit Card
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[ ] Mastercard
[ ] VISA
[ ] American Express
[ ] Discover/Novus
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Account Number:
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Expiration Date:
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(month/year)
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Cardholders Name:
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Your Name:
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Company Name:
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Your Address:
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City, State, Zip Code:
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Country:
(if outside U.S.A.)
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E-Mail Address:
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Daytime Phone No.:
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FAX No.:
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(we may need to fax or mail our web service agreement to you)
*Prices indicated do not include any applicable New Domain fees for domain registration (yourdomain.com) we charge $48.00 for the first two years, and $24.00 per year thereafter, to secure the domain name of your choice.
**Billing is handled under our parent company name of BCSdesign.
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