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HOSTING – ORDER FORM
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Step
1
of 6
Do You Currently Have a Domain Name Registered?
*
Yes
No
CLICK HERE TO CHECK FOR A NEW DOMAIN NAME
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Enter Your Domain Name
Please Enter Your Domain Name
*
(example: your-domain-name.ca)
Transfer Domain, and have Internet Lightspeed act as your Registar. (Transfer includes an additional year of registration for your domain)
*
Yes
No
Domain Transfer Cost
$ 0.00
(price does not include taxes)
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Hosting Plan
Plans
*
from $4.99
from $9.99
from $29.99
from $49.99
from $89.99
Email Pricing
*
Monthly $4.99
Quarterly $13,99
Semi-Annually $19.99
Annually $25.99
Basic Pricing
*
Monthly $9.99
Quarterly $28.99
Semi-Annually $54.99
Annually $99.99
SOHO Pricing
*
Monthly $29.99
Quarterly $84.99
Semi-Annually $162.99
Annually $299.99
Business Pricing
*
Monthly $49.99
Quarterly $145.99
Semi-Annually $279.99
Annually $499.99
Corporate Pricing
*
Monthly $89.99
Quarterly $249.99
Semi-Annually $469.99
Annually $899.99
Estimated Order Total
$ 0.00
(total includes one month deposit, does not include taxes)
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Account Information
Business Name
Contact
*
First
Last
Email
*
Phone
*
Billing Address
*
Street Address
Unit / Apartment / Suite
City
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Prince Edward Island
Yukon
Province
Code Postal
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Credit Card Information
Account Holder Name
*
Credit Card Number
*
Expiry Month
*
01
02
03
04
05
06
07
08
09
10
11
12
Expiry Year
*
2021
2022
2023
2024
2025
2026
2027
2028
2029
CVV
Estimated Order Total
$ 0.00
(total includes one month deposit, does not include taxes)
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Authorization
Authorization
*
I agree to the terms and conditions
*
Please note once your order is received an Internet Lightspeed CSR will call to verify the information you supplied.
I acknowledge that this is a prepaid service. The plan and payment period you have selected, as well as a deposit equal to the monthly billing rate for your selected hosting plan, will be charged today. All fees are payable on or before the 1st day of the next billing period.
Once provisioning and activation is complete the account becomes active immediately and billing commences immediately. Due to technical reasons this cannot be delayed.
All prices as well as other aspects of our services are subject to change without notice.
To show your acceptance of and willingness to be bound by the complete Terms and Sonditions listed on our website, please add you signature in the provided panel, then tick the box "I AGREE" above and click Submit at the bottom of this form. Click here to view our complete
Terms and Conditions
.
Prices indicated for the various plans do not include the one month deposit, applicable taxes, tariffs, or any applicable set-up fees. All prices as well as other aspects of our services are subject to change without notice.
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(use your finger, stylus, or mouse to sign in this space)
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