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Economy Plan Order
Via Online Check

Click Here To Check The Availability Of A Domain Name
(It will open in a separate window so you won't lose the info in this form)

Set-up is generally completed the same day and usually in less than one hour, but may take up to 24 hours, depending on circumstances. 

We will contact you after setup with a "Welcome" e-Mail which will include your account information and domain name server change information.

* Indicates a "Required" field.

Domain Information

 Your Domain Name*

Your Domain Extension*

 


www. Too Many characters.
This is required.Too few characters.

Extension:
A value is required.Not enough characters.Too manycharacters.(.com .net .org .us .info .biz or other of your choice)

NOTE: Be careful! No refunds for misspelled names registered for you.

What Should We Do About Your Domain Name?

* Please select an item.
New Registrations are $34 for TWO full years for: .com .net .org .us .info .biz

If your name is already registered, we strongly advise you to have your domain name registration transferred here.
We manage the name for you and make sure it is not stolen or expires without your knowledge.
 Second Choice Name: www.   
Only needed if this is a NEW registration and in case 1st choice is
not available.
Add ID Protect:*

Please make a choice.
Recommended. Keeps your domain name registration info hidden to
prevent fraud and spam.

Hosting Plan Choice
Plan / Payment Choice*

Please a payment cycle.
How You Found Us* Please make a selection.
Search Engine?
If Found In A Search Engine Please Tell Us Which One
Any Comments?

eCommerce Acount Features
I Want A Shopping Cart:* Please select an item.
More Info - osCommerce  | More Info - Super Shop Cart

Owner / Contact Information
First Name* [Required]At Least 2 Characters.Max Of 14 Characters.
Last Name* [Required]At Least 3
Characters.Max Of 30 Characters.
Company (If Any)
Nature of Web Site Content*
[Required] Minimum of 8 characters not met.Exceeded maximum of 75 characters.Please describe the type of material that will be on your site.
Your Street Address* [Required]Min of 8 characters.
Exceeded max 8 characters.
City* [Required]Minimum of 3 characters not met.Exceeded maximum of 30 characters.
State* [Required]Minimum of 2 characters.Max of 30 characters.
Zip Code* [Required]Invalid format - 5 digits only. 5 digit US zips only. For outside US, type 5 digits here and provide full zip info in Comments field above.
Country* [Required]Min of 3 characters.Maximum of 35 characters.
Phone* Area Code and Phone:  [Required]Format: 555-555-5555
Example: 555-555-5555
Mobile Phone Area Code and Phone: 
Example: 555-555-5555
Fax
Your e-Mail Address* A value is required.
This MUST be an address outside the domain you are setting up.
Your Login info will be sent here.
Second e-Mail Address
If At All Possible
An additional address to help us contact you if there is a problem.
 

We are pleased to accept your check for annual payment of GraceNet hosting
service or Add-Ons

Fill out the Online Check Submission Form Below. This is the easiest and fastest way to get your site up and running when paying by check. Of course, it uses our totally secure server for your safety.

 

NOTE: We can only accept checks which are drawn on US banks in US funds.

NOTE: We can only accept checks for annual payments. All monthly accounts must be paid by credit card.
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Secure Online Check Submission

Check Image

•• NOTE ••

You Do Not Need To Send Your Check To Us IF You Submit This Form. Keep The Check For Your Records.

Check Is Payable To:

The GraceNet
Check Number* [Required][Numbers Only][Minimum of 1 character][Exceeded maximum of 12 characters]
No Spaces Permitted In The Check Number
Bank Routing Number (9 Digits)* Invalid format. Use mm/yy.Required. Use format 00/00Minimum of 9 characters not met.Maximum of 9characters.
Account Number* Required - Numbers Only.Invalid format.Not enough characters.Too many characters.
Transit Code* [Required][Not enough characters][Too many characters]
Name as it appears on Check* A value is required.
Address as it appears on check* [Required]Min of 8 characters.
Exceeded max 8 characters.
City, State/Country, Zip*
As it appears on check.		 City:  [Required]Minimum of 3 characters not met.Exceeded maximum of 30 characters.

State: [Required]Minimum of 2 characters.Max of 30 characters.   

Zip:  [Required]Invalid format - 5 digits only.5 digit US zips only. For outside US, type 5 digits here and provide full zip info in Comments field below.
Your telephone  with Area Code* [Required]Format: 555-555-5555
Example: 555-555-5555
Bank Name* A value is required.
Bank Address: [Required]Min of 8 characters.
Exceeded max 8 characters.
Bank City, State, Zip* City: [Required]Minimum of 3 characters not met.Exceeded maximum of 30 characters.

State: [Required]Minimum of 2 characters.Max of 30 characters.

Zip: [Required]Invalid format - 5 digits only.
Bank Phone* [Required]Format: 555-555-5555
Check Amount* $ [Required]Use format 1,000.00The entered value is less than the minimum required.
Domain Name This Is For* Too Many characters.
This is required.Too few characters in domain name.
Any Comments
 I understand I am submitting this payment by check and that there is a $31.00 fee if the check is returned.

I agree by submitting this order to allow The GraceNet to debit my checking account for annual web hosting services, any domain registration and additional service fees (if applicable).   This agreement will be in effect until cancellation by either party in writing at least 10 days before the next account renewal date.

Would you classify your web site as: Please select an item.

   If I am Applying as a Ministry or Church and Would Like To Have a Free Listing On GraceNet's "Hosted Sites" Pages; I agree with the GraceNet Statement of Faith

By submitting this order form, you warrant that you have read and agree to our Terms of Service and cancellation policy.

Promo Code If Available: 

Submit this form ONCE ONLY