CJ Digital Web Hosting

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STEP 1: CONTACT INFORMATION

Customer Information:
First And Last Name:
Street Address:
City:
State:
Post (zip) Code:
Home Phone:	(Don't forget the area or country code!)
E-mail:

Company Information:
Same as Customer Information:
Business Name:
Street Address:
City:
State:
Post Code:
Phone Number:	(Don't forget the area or country code!)
Fax Number:

STEP 2: CHOOSE A EMAIL PLAN

Plan	Email Boxes w/ 5 mb Storage	Email Boxes w/ 10 mb Storage	Billing Cycle	Total To Start	Select a Plan
Starter	5	0	1 Mo.	$4.99
Basic	8	5	1 Mo.	$7.49
Silver	10	8	1 Mo.	$9.99
Gold	20	10	1 Mo.	$17.49

STEP 3: DOMAIN NAME INFORMATION:

Enter The Domain You Would Like To Use:
.com .net .org Other

Registration Information:

CJ Digital Web Hosting will register your domain name for you. The cost is $9.95 per year. From the pull down list below, please select the how you want to register your domain.

This amount cannot be refunded, all sales for domain registrations are FINAL. You will see 2 charges or checks posted to your account 1 for web hosting in the amount above and 1 for the domain name registration.

If your domain is not working in 2 days contact us for help. If this is a transfer you will get an e-mail from CJ Digital Web Hosting, if you don't contact support.

STEP 4: ACCOUNT SETUP INFORMATION

Enter the password you want to use

Other Information you would like us to know, for example if you have an account number or password please provide this information so we can transfer your domain correctly.

STEP 5: Domain Credit Card Purchase

Type of credit card:

Credit Card Number:

CV2 Number on back of credit card:

Credit card exp date:

I agree to all of the terms of the hosting program and agree to pay for this hosting by having my credit card charged in the amount of the plan setup and hosting fees. I understand that this is a legal agreement and will abide by the rules, and laws of The State Of Florida, CJ Digital Web Hosting, and the service providers CJ Digital Web Hosting uses for backbone connection.