WEBMASTERS.COM Dedicated Server Setup

Please enter the information below to set up your new server.

Contact Information

Organization Name:

Contact Name:

Street Address:

City / State / Postal Code:

Country:

Telephone Number:

Fax Number:

Current Email Address:

If possible, please do not list an email address at the domain being set up.

New Account Information

Primary Domain Name: http://www.

User Name (5 to 8 characters):

Password (6 to 15 characters):

Confirm Password:

* You will need the above user name and password to administer your account.

Select Server

Please select a server by checking the appropriate box below.

Virtual Server:

@ $99 Per Month / $0 Setup

Pro Server:

@ $160 Per Month / $195 Setup

Managed Server:

@ $375 Per Month / $195 Setup

Server Mirroring:

Yes No

* Server Mirroring uses 2 separate servers (both hardware and software) in different data center locations on completely different networks to improve load handling, and ensure 100% server and network uptime. If one server or network fails, the other automatically takes over, resulting in no downtime.

Monthly Fee:

One Time Setup Fee:

Total Due:

*** For higher security, we do not provide Telnet/SSH access on Virtual and Managed servers.

Additional Comments

How did you hear about us?

Were you assisted by our sales staff?

Yes No

Payment Information

My billing name and address are the same as my contact information.

Billing Name:

Billing Address:

City / State / Postal Code:

Country:

Payment Type:

Credit Card Check (U.S. Only)

1. Please read the Service Usage Policy by clicking here.

2. Please read the Internet Service Agreement by clicking here.

	I have read, understood, and agree to the terms in items 1 and 2 above.
	I request the sum of $ USD to be charged to the above account. I also authorize the above account to be charged the sum of $ USD plus any applicable over limit bandwidth charges on a recurring monthly basis.

This service can be cancelled any time prior to each month's regular billing date, however no refunds shall be due upon cancellation.

Save my profile for future orders (credit card data will not be saved).

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