Order GraceNet Windows Bronze

GraceNet Windows Bronze Plan Secure Order

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 within 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*	www. . NOTE: Be careful! No refunds for misspelled names registered for you.
* New Domain Registration Don't register me (I will handle my Registration) New Registrations are $34 for TWO full years for: .com .net .org .us .info .biz
Second Choice Name	www. . Only needed if this is a NEW registration and in case 1st choice is not available.
Plan / Payment Choice*	Setup is $10.00 if paying monthly. No setup if paying annually.
How You Found Us*
If Found In A Search Engine Please Tell Us Which One
Any Comments?
Additional Account Features
I Need FrontPage Extensions:* (Only if you use MS FrontPage)	If you do not use FrontPage software you do not need this.
I Want A Shopping Cart:*	More Info - osCommerce \| More Info - Super Shop Cart
I Want To KickStart My Site:* Submit to over 400,000 engines	More Info?
I Want SuperStats:* Monitor hundreds of valuable stats for your site	More Info? Starts at $9.95 and Depends On # of Page Views Each Month
I Want RealServer* 250 Megs of space on a Genuine RealServer
Owner / Contact Information
First Name*
Last Name*
Company (If Any)
Nature of Web Site Content*
Your Street Address*
City*
State*
Zip Code*
Country*
Phone With Aea Code*	Example: 555-555-5555
Mobile Phone With Area Code	Example: 555-555-5555
Fax
Your e-Mail Address*	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 outside the domain you are setting up. Helps us contact you if there is a problem

Credit Card Account Billing Information
Credit Card Type*	MC VISA AMEX (Select One)
Card Number*
Expiration Date*	Should your card be expired when a renewal of services are due, you authorize us to extend the Expiration date.
CVV2 Number*	What's This?
Name as it appears on Card*
Secondary Name on Card
e-Mail for Billing Receipts*
Credit Card billing address must match Owner Info above or be provided below:
Card Billing Address
City, State/Country, Zip	State Zip
Telephone with Area Code	Example: 555-555-5555

If paying by credit or debit card, I agree by submitting this order to allow The GraceNet to charge my debit or credit card an initial payment for web hosting services which includes a one-time setup fee of $10 (applicable only if this is a monthly account), either one month or one year of hosting according to the payment cycle selected and any domain registration fees (if applicable). I also agree to allow The GraceNet to charge my debit or credit card monthly or annually on my account renewal date. This agreement will be in effect until cancellation by either party in writing at least 30 days before the next account renewal date. If I am Applying As A Ministry or Church and Would Like To Be Listed 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. Submit this form ONCE ONLY

GraceNet Windows Bronze Plan Secure Order

Submit this form ONCE ONLY