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E-Mail & Web Site Hosting - Signup
Today's Date: Thursday, 7/29/2010 08:38 (Eastern)
Your Name:        Your E-Mail Address:
 Business Name: 
Your receipt or invoice will be e-mailed to the address you provide here.

Your Mailing Address:
Street:        City:      State:
Country:      Postal/Zip Code:     Phone:

      Promo Code:
    Domain Name:     Register New: $15/year     Transfer Existing: $15/year
Please provide the domain name even if the registration info will not change.
Extras:
    I will require a Shopping Cart         I will require a Secure Server (SSL)
    Transfer my existing web site to the new webspace: Starting at $150.00 (We'll contact you for details)
    Web Development (We'll contact you for details)
Comments and/or Special Instructions:

Hosting Fees, Domain Name Regisration Fees And SSL Setup Fees Are Not Refundable
Mail your check or money order to:
LakeShore Computer Technologies
101 Washington #228
Grand Haven, MI  49417

or Click Here To Pay Online
(If you pay online, please use "New Customer" as your invoice number)

By selecting "I AGREE" below, you signify that you
understand and agree to the terms of the
Web Hosting Contract



Your account will be activated
upon receipt of your payment.

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