Park and Point Domain Order Form

Parked and Pointed Domain Order Form

Your Name:

Registration E-mail

This is the e-mail that you would like us to register to Internic.

Contact E-Mail:

Important Note: Please provide us your real e-mail address from your access provider. Sorry that we will not except generic free e-mail address Ex. hotmail.com, iname.com, usa.net etc. Thank you for your cooperation.

Please make sure that it is correct.

Company:

Street Address:

City, State, Zip:

Country

Phone:

(please remember area code)

How did you find out about us?

Exist Domain
Fill in your domain name that you want to transfer to our server and Click Next.

Domain Name Registration

This is a request for:

New Domain

Enter requested domain name Please note: SpringWeb will charge your credit card for Domain Name Registration at the time of registration. The domain fee must be paid by credit card only. The Domain Name Registration fee is non-refundable. Please make sure your domain name is correctly spelled. $25 One year Domain Name Registration fee $48 Two years Domain Name Registration fee
Enter a description of your organization (personal or business)

Initial package
Enter Main Domain name that you want to point your parking domain to.
Comments

Payment by Credit Card

Visa	MasterCard	Call me please
Visa Debit Card	MasterCard Debit Card	Call me please

Name as it appears on the card:
Card number:Please make sure that it is correct.
Expiration date:
For security purposes, you can help to prevent fraudulent credit card use by providing us with correct information regarding your Credit Card Billing Address (your address that the bank bill you each month), Zip code and Customer Service 1-800#. We will not provide our service if the address and zip code don't match the original card holder information. We appreciate your help.
Credit Card Billing Address (first line of your address):
CCredit Card Zip Code:
Credit Card Customer Service Tel. # (on the back of your card)

Please expect your domain to be recognized on the web within 2-5 days

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