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ORDER FORM - PERSONAL INFORMATION

Note that the fields marked with * are required

DOMAIN NAME* :
FIRST NAME* :
FAMILY NAME* :
ADDRESS 1* :
ADDRESS 2 :
COUNTRY* :
STATE :
CITY* :
ZIP (POSTAL CODE) :
PHONE* :
FAX :
E-MAIL* :
* I have read and will abide by the "Host terms and conditions"

PLEASE SELECT SERVER LOCATION

SELECT	LOCATION	TECHNICAL CENTER
	USA	SAVVIS
	HONG KONG	i-Advantage

PLEASE SELECT PAYMENT PLAN

SELECT	HOSTING	DOMAIN REGISTRATION	TOTAL
	1500MB, 12 months	Using my existing domain	$120
	1500MB, 24 months	Using my existing domain	$220
	1500MB, 12 months	Registration new domain - $5 = .com/.net/.org/.us/.biz/.info	$125
	1500MB, 24 months	Registration new domain - $5 = .com/.net/.org/.us/.biz/.info	$230
	500 MB, 12 months	Using my existing domain	$60
	500 MB, 24 months	Using my existing domain	$100
	500 MB, 12 months	Registration new domain - $5 = .com/.net/.org/.us/.biz/.info	$65
	500 MB, 24 months	Registration new domain - $5 = .com/.net/.org/.us/.biz/.info	$110
	500 MB, 12 months	B2B (wholesale trade) for the first year	$260
	500 MB, 12 months	B2C (retail trade) for the first year	$240