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E-Commerce

Domains

Promotion

Design

Hosting Services
Co-Location Services
E-Commerce Services
Domains
Promotion
Design

Please review the Terms & Conditions of service before proceeding.

Please Note: Your computer's IP address is logged for security purposes.
Any orders received with fradulent credit card information will be reported
to the proper authorities and will include the IP address of your computer.

* = Fields required to process Form

1C. Windows 2000/2003 Server Hosting Plans:
PART 1: CHOOSE SERVICES
1A. E-mail Hosting
	E-Mail Hosting - $5/month or $50/year: - includes 5 POP3 e-mail accounts (addl. email accounts $1/mo.)
	Additional email accounts: X $1/month
1B. Mac OS X (Unix) Hosting Plans:
	Basic Plan - $10/month or $100/year: - 250 MB storage - 5 GB data transfers
	Standard Plan - $20/month or $200/year: - 500 MB storage - 10 GB data transfers
	MySQL Database Plan - $30.00/month or $300/year: - 750 MB storage - 15 GB data transfers - Requires PHP coding
	Basic Plan - $10/month or $100/year: - 250 MB storage - 5 GB data transfers
	Standard Plan - $20/month or $200/year: - 500 MB storage - 10 GB data transfers
	MS SQL Server Database Plan - $30.00/month or $300/year: (supporting ColdFusion or (ASP) Active Server Pages) - 750 MB storage - 15 GB data transfers
	Select Hosting Options (does not apply to Basic Plan): - I need Front Page extensions to publish my site: Yes - I need Microsoft .Net components for this site: Yes - I will be using ASP or ColdFusion MX coding
1D. E-Commerce/Online Store Hosting: $695.00 setup, $30.00 per month hosting.
	Shopping Cart - configured and managed by user
1E. Additional Hosting Services:
Qty MB	Additional Disk Space for Hosting Account $2.00 per additional 100 MB per month
	Web Design $495 Includes one year free Basic Hosting Plan. Second year will be billed at the normal annual rate of $100/year
	MailPure Managed Spam & Virus Filtering Service Click here for details and pricing
	Announcement Mail ListServer FREE for hosted sites (Standard Plan or greater)
	Access to Secure Server (SSL) Required FREE for hosted sites (Standard Plan or greater)
1F. Server Co-Location - $250.00/month - FREE Setup:
	Total number of Servers:

PART 2: DOMAIN NAMES

Important - Please Note:
At least one registered domain name is required to host your web site. If you have not registered a domain name yet, click on the link to register using our domain name service: http://www.domain-name-store.com

When going through the registration process, leave the default setting for "use Domain Name Store Name Servers" - which will point to InnoTech name servers - DO NOT select "Park Domain"

Primary Web Site Domain Name:
www.

Additional Web Site Domain Name Aliases:
List 1 domain name on each line for any domain name aliases that will be pointed to your main web site (charges may be incurred for domain name hosting depending on which hosting plan is selected).

PART 3: PASSWORD FOR E-MAIL ADMIN/FTP ACCESS

Please create a Password below.

Username: will be assigned by InnoTech

* Password: (Should be at least 5 letters)

PART 4: CUSTOMER/BILLING INFORMATION
* First Name:
* Last Name:
* Company Name:
* Billing Contact:
* Billing Address 1:
Billing Address 2:
* Billing City:
* Billing State:
* Billing Zip:
Country:
* Phone:
Extension:
FAX:
* E-Mail Address:
How did you hear about us?:
Promotional Offer Code:

Credit Card - Visa / MasterCard / AMEX / Discover accepted:
(U.S. and International customers - a charge will appear on your statement from InnoTech after the first business day of the billing month)

Monthly in Advance
Quarterly in Advance
Annual in Advance

* Card Type
* Card Number	---
* Exp. Date	/
* CVV Number
* Name on Card

Complete the following only if the address where the Credit Card Statement is sent to is different from the Billing Address listed in Part 4 above:
CC Statement Street Address
CC Statement Zip Code

Additional Comments / Requests:

Please review the Terms & Conditions of service before proceeding.

Terms and Conditions