DEDICATED SERVER SERVICE APPLICATION

STEP 1
Domain Information

If this is a new domain please search the whois database for name availability.
If your name is available please return to this page and continue.

Domain Name:

 Already Registered / Have a Domain Name
New Domain
WWW. Extension: (examples: mydomain, my_domain, my-domain)

Select Domain Purchase Option:
    

New domain names take about 24 to 48 hours to become available in the Whois Database.

STEP 2
Your Server Plan Information
Hosting Plans:
PSE-1: $199.95/month Setup fee: $250.00
PSE-2: $299.95/month Setup fee: $250.00
PSE-3: $399.95/month Setup fee: $250.00
PSE-4: $749.95/month Setup fee: $400.00
PSE-5: $1249.95/month Setup fee: $400.00
Other Available Options:
20 GB EIDE Backup Hard drive $35.00/month
40 GB EIDE Backup Hard Drive $50.00/month
RAID 5 (includes 2 extra drives) $250.00/month
DNS/BIND Name Server $20.00/month
Chilisoft ASP $25.00/month
100 Search engine submissions $75/year
STEP 3
Personal Information
First Name: *
Last Name: *
Email: *
Business Name:

Where did you
hear about us?

 
Address Information
Address:  *
City: *
State: *
Zip: *
Country:   *
Phone: *
Fax:

STEP 4
Payment Information

Please select a term:
Monthly Billing Quartery Billing (every 3 month) Annual Billing (12months)

We accept payments in the form of a Check, Money Order, MasterCard, Discover or Visa.

For check or money order transactions, you are asked to send payment
for the first (3) month of service plus setup.
Your account will be activated on receipt of payment.

If paying by check, please make payable and send to:
Tinker Graphics & Promotions
 1043 A. East New York Ave.
DeLand, FL  32724

For credit card transactions you will be charged for the first (1) month plus setup
Pay via MasterCard / VISA
Pay via Check / Money Order
If you are paying via credit card, please provide your credit card information below.
This is a SECURE ORDER FORM
Card Number Expiration Date
Card Holder Name: Card Statement Address:
Card Statement City: Card Holder State:
Card Statement Zip: Card Statement Country:


By continuing to send this form you are agreeing to the
charges and terms as defined above and in our hosting policies.
 


386-734-3475
Email: sales@planetusofa.com

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