Docu-Type Web Hosting & Design

To order your web hosting package, fill in the form below. It will be forwarded to our sales department.

Our order page will not ask you for your credit card information. Please do not include it. We will contact you regarding your preference which you will indicate below.

(If you require a Web Site designed without Web Hosting,
click here to request a Free Web Design/Hosting Quotation.)


First Name:*
Last Name: *
Company Name:
Address:
City:
Prov/State:
Postal/Zip:
Country:
Phone:
Email:*

Type of Business:

Desired Hosting Plan:	(Compare Hosting Plans)
If you are unsure of the Hosting Plan you should use, provide us with detail of your website (eg. number of pages; extent of graphics; special features; ecommerce; databases; desired email accounts; etc.):


Do you need a domain name registered? Yes No
If yes, enter a few of your top choices here and we will do search for its availibility and of variations of it.:


Desired length of registration of your domain name (separate from web hosting):


If you already have a domain name registered, what is it?


To set up your hosting plan, we will need to enter a username and password. Please provide us with your choices for (maximum 8 characters each):
Username:
Password:

Preferred Payment Method:


Preferred Payment Period: (click here to see totals per month)


Do you need a website designed? Yes No
If yes, please provide us with your thoughts and vision for your site.


How did you hear about our services?


Any Further Comments or Questions:

Thank you for your order. We will be in touch with you within 24-48 hours during regular business hours (M-F,9-5 EST)