You may order using this secure form or by calling our sales team on 1-888-592-4678. Once your order is processed, we will email you with login, FTP and other necessary information. If you have any questions, please contact US Net Sales on 888-592-4678 or email

Promotion ECFDR Web Hosting Order Form
Step 1
Choose your Shared or E-commerce Hosting Solution
1. Domain Setup top

The above domain is already mine. I do not need you to register a domain for me.
The above domain is new. I'll take the free year (2 years if I'm prepaying for a year of Web hosting) and want to purchase additional years.
  I'll take the free year(s), but I do not want to register for any additional years.
  I want US Net to register this domain for 1 additional year at a cost to me of $27
  I want US Net to register this domain for 2 additional years at a cost to me of $52
  I want US Net to register this domain for 3 additional years at a cost to me of $70

US Net only registers domains with the following extensions: .com, .net, .org, .info, .biz, and .us. If you choose a domain other than .com, .net, .org, .info, .biz, or .us, you will need to register the domain with another domain registrar. Click Here to find the NIC for your country.

Please Note: Domain registration fees are non-refundable.

*If you are transferring your domain, you are responsible for moving the files and updating the DNS information with the registrar with whom you registered the domain. Please use the following DNS entries with your registrar.

Primary DNS:
Secondary DNS:

2. Plan and Payment Options top

Choose Plan*

3. Promotional Code Information top

Please enter the promotional code as it was included in the advertisement or Web page you viewed. Pricing adjustments and/or premium additions will be made automatically based on the code you include. Failure to include the proper code will result in your not receiving the savings or added premium provided in the promotional offering. Final costs and service elements included will be confirmed in your Welcome Email.

  [Promotional Code]

Step 2
Choose your Server Upgrades
1. Upgrade Options top
Secure Server
  Allows you to enable a secure certificate that you provide or to purchase your own certificate.
I have my own secure server certificate to use.
I want to purchase a secure server certificate to use.

    Complete only if purchasing a secure server certificate:

    Dun and Bradstreet or Articles of Inc or Business License
    Client Contact (name and number)
    Catch Phrase (security purposes)

Windows Media
  Enables Windows Media.
  Adds MySQL database connectivity and management to your site.
  Additional E-mail Accounts
The Promo, Starter, Small Business, and Large Business plans include 10, 30, 50, and 80 email accounts respectively. Additional email accounts beyond those included in the selected package are available in blocks of ten.
Front Page Extensions
  Adds Microsoft Front Page capabilities to your site.
2. Domain Aliases top
Points additional domain names to your main hosting account. Enter domain alias in this format " Domain Aliases cost $5 each per month. "
Alias 1 Register this domain name
Alias 2 Register this domain name
Alias 3 Register this domain name
Alias 4 Register this domain name
Alias 5 Register this domain name
3. Additional Data Transfer top

4. Additional Storage top

5. Further Instructions (Include additional requests in the box below.) top

Step 3
Provide Customer Information
1. Customer Name top


  [Company Name]

2. Customer Address top

  [Address 1]*

  [Address 2]


  [State or Province]*

  [Zip Code]*


The above address must match exactly your credit card billing address if you are paying by credit card.

3. Customer Contacts top

  [Day Phone]*

  [Evening Phone]



4. Credit Card Information top

  [Choose Credit Card]*

  [Credit Card #]*

  [Name on Card (Exactly as is appears)]*

  [Expiration Date (mm/dd/yyyy)]*

Your e-mail address will be our main contact with you. This address must be at a domain other than the one being signed up.

( * indicates a REQUIRED field. Please provide a valid e-mail so you may receive the Server Administration instructions. If you have any questions concerning this form, please call 1-888-592-4678.)

Step 4
Where did you hear about US Net?
1. Referral Information top

  If Other, please specify.

  (* indicates a REQUIRED field )

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