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Hosting Order

To protect your privacy, we use highly secure order processing. This means your payment information is entered using a secure server and your credit card information is transferred internally using SSL, the most powerful encryption available.

To place an order, please complete the following order form. There are no hidden fees or setup charges. If you select to pay via credit card, you will receive your new account information within 1 hour.
Domain Information
Domain Name
Chose Username   maximum 8 characters
Chose Password   maximum 12 characters

Account Information
Plan Type
Contract Length
Charges Method

  Contact Information

Contact Name
Company
Address
City
State/Province
Zip/Postal Code
Country
Tel. No
Fax No
Email Address

Billing Information

Visa

Visa		 MasterCard

master card		 American Express

American Express

Card Number   no spaces
Name On Card
Card ID Number

Expiration Date Month  Year 

Card Statement Address
City
State/Province
Zip/Postal Code
Country

 
 Referral Information
Referral  Domain (Option)

We show & record your IP address
Credit card fraud is a felony and we will aggressively prosecute anyone attempting to misuse a credit card number.
We track every transaction and will use all means available to prosecute persons attempting fraud.
IF IT'S NOT YOURS, DO NOT USE!



Note: You should receive your new account information via email within 6 hours.
If you do not, please contact Support@OnTimeHost.Com.

By submitting this order, you agree to accept the OnTimeHost  policies and guidelines
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