Hosting Request

Name

Phone Number

Email Address

Your Domain Name(s)

Company Name (if applicable)

Address

Is your domain name registered? Is your domain name registered? yes no

We can register your domain for you We can register your domain for you yes no

Which registrar is your domain registered with?

Do you use email with Office 365 or GSuite? Do you use email with Office 365 or GSuite? Yes No

We will contact you with information regarding setting up your DNS or you can supply your registrar username and password here on this secure form.

Interested in... Interested in... $175/yr Basic Hosting Basic Hosting - monthly payment plan $300/yr Pro Hosting with Monthly Plugin Updates Included Pro Hosting - monthly payment plan $400/yr Pro X Hosting - Includes Regular Backups Pro X Hosting - monthly payment plan

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