Web Hosting Order Form

Place your web hosting order

Please complete the following form to for all web hosting services. You will receive follow-up communication from Grabers regarding the status of your account. Thank you.



Web Hosting Order Form

Complete the form below to sumbit your web hosting package order. Note that all online ordering information is safe and secure during transmission, as we utilize 256 bit encryption via an Verisign server certificate.

Step 1: Account Information

Contact Name:
Company Name:
Address:  
City:   State:
Zip Code
Phone
Fax:
Email Address:
Off-Network Email:

The Account Information above should match the billing information associated with the credit card number that you will enter below. If it does not match, delays may be encounterd in account set up. Also, be sure that both email addresses are valid or we will not be able to contact you confirming your account details.

Step 2: Domain Name Information

Domain to be
Hosted:
http://www.yourdomain.com
  Register my domain name for me.
  Do not register my domain. I will manage this.

If you choose to have us register your domain, the first year of registration fees will be billed separately. Subsequent charges or additional years will be your responsibility. You will pay those fees directly to the registrar.

Step 3: Define Your Hosting Plan

Billing Cycle GM250
10 mb
GM500
20 mb
GM1000
75 mb
GM2000
125 mb
Quarterly
(5% Off)

$45.00

$60.00

$90.00

$105.00
Annually
(15% Off)

$153.00

$204.00

$306.00

$357.00

Your User Name:  (8 characters or less.)
Your Password:  (15 characters or less.)
Enable Frontpage Extensions: Yes    No

Step 4: Enter Payment Information

Select Method:
Name on Card:
Credit Card No:
Expiration Date:

Step 5: Acceptable Use Policy

 
 I have read & understood the Acceptable Use Policy
       

After you click the 'Proceed To Next Step' button above, you will be presented with a page that lists all of your order details. Your order will not be processed until you click the "Submit Order" button on that page.

Last Update: 6/10/2005