Globalnet Domain Hosting Service

Reseller Program Master Order Form

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Name:
E-Mail:
Company:
Street Address:
City, State, Zip: ,
Phone:
(Enter your requested Domain name: ie.www.yourdomain.com)
Domain Name:
Password: (exactly eight characters)
Select Domain Name Action:
New Domain name registration
Transfer of an existing Domain name We also host international domains.

Front Page '98 Extensions Installed (can be added free of charge later)

One time set license fee $49.95

Select Either the Standard or Miva Merchant enabled Reseller Program

First Month $49.95 300MB Reseller Program

or choose

First Month $64.95 300MB Reseller Program enabled w/ Miva Merchant
Comments:

Payment Type

MasterCard Visa  Check/Money Order in U.S. Funds

Credit Card number

exp: 

If your credit card billing info is different from information completed above- Enter name on credit card, address, city, state, zip, and place this information in the comments box. If you elect to pay by check, you may either mail your payment or for same day set up- fax your completed check payable to Globalnet to 816-554-0041.


 

 

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