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WEB HOSTING SIGNUP


WELCOME to our Hosting signup form. Upon completion of this form, you will be taken to our Web Hosting Agreement which will be filled-in for you based on the information you provide below. You are advised to preview our Web Hosting Agreement before completing this form. If you have any questions regarding our Hosting Agreement, please contact us.

STANDARD WEB HOSTING SIGN UP FORM


  Today's Date07/28/2017
* First Name
* Last Name
   Your Title
* Email
* Confirm Email
* Company
* Address
    Address
* City
* State / Province
* Country
* Zip / Postal Code
* Telephone
   Fax
* Domain Name



* Hosting Plan Billing Cycle:

Monthly (electronic)
Yearly (electronic, 12 months prepaid - 2 months FREE!)
Manual Annual Billing ($25 processing fee applies)

* Payments:>

$25.00 per month (electronic - $20 setup fee applied to first month)
$250.00 Yearly (2 months FREE! - $20 setup fee applied to first year)
$325 Manual Annual Billing ($20 setup fee applied to first year)


* Content:

Non-Adult
Adult (Additional charges apply - details)


Domain Name Information:

* Is this a new domain name registration?
Yes
No

If you have not registered your domain name, Bay State Internet Services will register your domain for $15/year. This fee includes complete registration on your behalf, making necessary DNS changes, and monitoring renewal dates to insure uninterrupted service. If you choose "no" it is your responsibility to register your domain with another registrar, make necessary DNS changes,and your web hosting account will not be fully functional until you do. Do you want Bay State Internet Services to take care of your domain registration?

Yes (you will be billed separately)
No

If this is a new domain, how many years do you want to register the domain name?


If your domain name is already registered, with whom do you have the domain registered with?

If you already have your domain name registered, you will need to change the DNS record to the following nameservers:

N1.BAYSTATESERVICES.COM
NS2.BAYSTATESERVICES.COM

Do you want Bay State Services to make these DNS changes for you ($20 fee applies)?
Yes
No


Website

* Do you currently have a website?
Yes
No

If your website is currently with another host, please give the name of your current host.


Do you want Bay State Internet Services to move your website to our servers for you? (fees will apply depending on size and complexity)
Yes
No

If you want Bay State Services to move your website for you, please provide necessary login information:

Site IP/FTP address:
FTP login username:
FTP Password:




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