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**
All information is encrypted via PGP to
ensure your privacy and safety **
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|
Primary
domain information....
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| How
did you find us? |
(Banner? Search engine? Friend?) |
|
Type
of Registration: |
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|
Primary
Domain Name:
|
(Click here
to check availability) |
| Want
us to register? |
(We can register your domain and pass the
fees on to you) |
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Choose
a Password:
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(A mix of letters/numbers are best) |
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Additional
domains ($2/month/domain)...
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|
2
- Domain:
Register?
Type
Point to?
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|
3
- Domain:
Register?
Type
Point to?
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|
4
- Domain:
Register?
Type
Point to?
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|
5
- Domain:
Register?
Type
Point to?
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Pick
your plan...
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|
Choose
Package
|
Storage
(MB)
|
Transfers
(GB)
|
Domains
Included
|
POP3 |
Monthly
Cost
|
Setup
|
Overage
(per GB)
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|
A
|
25
|
.25
|
1
|
1
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FREE
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$15
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$5.00
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|
B
|
50
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2
|
1
|
1
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$9
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$15
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$4.75
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|
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C
|
75
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5
|
1
|
1
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$25
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$15
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$4.50
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D
|
100
|
10
|
1
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5
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$50
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$15
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$4.25
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E
|
125
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20
|
1
|
5
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$95
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$15
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$4.00
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F
|
150
|
30
|
1
|
5
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$130
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$15
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$3.75
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G
|
175
|
40
|
1
|
5
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$160
|
$15
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$3.50
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|
|
H
|
200
|
50
|
1
|
10
|
$190
|
$15
|
$3.25
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|
|
I
|
225
|
60
|
1
|
10
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$220
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$15
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$3.00
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|
J
|
250
|
70
|
1
|
10
|
$250
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$15
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$2.75
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|
|
K
|
275
|
80
|
1
|
10
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$280
|
$15
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$2.50
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|
|
L
|
300
|
90
|
1
|
unltd
|
$310
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$15
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$2.25
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|
|
M
|
325
|
100
|
1
|
unltd
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$340
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$15
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$2.00
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There is a one-time charge of
$4.95 on Plan-A to
verify your card is good. All
other accounts are billed on a prorated
basis for the first month.
If
you need higher plans - contact
sales@rapidhosts.com
with your specs and we will gladly
quote a custom package
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|
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Choose
the features you want... All are FREE except
the ones noted... To keep costs down,
please select only the features you will
really use. Thank you!
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|
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|
Enter
your Billing Information...
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|
International
Customers...
We
require a faxed or scanned copy of
your card/check and picture ID before we
can process your order. Please e-mail scanned
images to billing@rapidhosts.com or fax
your information to 1-864-472-3699.
|
Credit
Card Information
Card Number (example: 1234-5678-9012-1234)
Card CWD (Last 3 digits printed on the back
of card)
Expiration Date (MM/YYYY)
Name as it appears on your card
Checking
account information ($5 per month extra)
Routing Number
Account Number
Check Number
Bank Name
Name on the Account
PayPal
users... Do not fill out
the credit card or checking information.
We will send you a request for money via
PayPal to the e-mail address below. Your
account will be processed once PayPal verifies
your payment.
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|
Please note that charges on your bank statement
will show as: "SOLUTIONS
UNLIMITED"
|
|
Contact
Information...
should match billing information for the
above...
|
| Company
Name: |
|
| Your
Name: |
(As it appears on your credit card) |
| Billing
Address1: |
(Where your credit card statement is mailed) |
| Billing
Address2: |
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| City:
|
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| State/Province:
|
|
| Postal
Code: |
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| Country:
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|
| Phone
Number: |
(Must be a valid phone number) |
| Fax
Number: |
|
| Your
E-mail: |
(Valid e-mail address... No HotmaiL, etc.!!) |
Please
note that by submitting this form, you agree
that:
1.
You have read, understand, and agree to
be bound by our Terms
of Service
2. You authorize our parent company to bill
you on a recurring basis
3. You understand that you will be billed
monthly until your service is canceled by
you or us.
Please be sure to double check your information
for accuracy. Incorrect
information may delay the processing of
your order.
**
Charges on your statement will appear as
"SOLUTIONS UNLIMITED"
**
After clicking submit,
your information will be encrypted via PGP
and sent to our secure server for processing.
This may take a few seconds.
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