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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: Service Plan: Full Featured Web Site Hosting: $200/year Domain Name Registration Only: $15/year Web Site Hosting AND Domain Name Registration: $215/year       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 Select: I Agree I *Don't* Agree Your account will be activated upon receipt of your payment. Print This Page For Your Records Before Submitting

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