Internet Express Virtual Domain Hosting
Internet Express' professional Web hosting is an ideal solution for your online Internet presence. Leading edge technology, high-quality servers, redundant connectivity, high level security and 24x7 monitoring and support in our carrier class data center. You can count on Internet Express to keep your Website safe and available.
Domain Hosting Includes: Space on our redundant Web servers, Domain e-mail accounts and 24 hour FTP access.
First Name:
Last: Name:
Address:
City:
State:
Zip:
Business Telephone No:	- -
Home (install) Telephone No:	- -
Fax No:	- -
E-mail address you check:
Customer Representative:	none Allen Bradley Andy Mingione Barry Diamond Michele Schmidt Michele St. Pierre
Contact E-mail:	info@ixpres.com
Your Domain Name:
FTP Login Name:
FTP Password:
Domain Hosting Plans (please choose one)
Domain Hosting (www.yourcompany.com) 20MB Domain Website 3 Domain E-mail Addresses International Web Based Email	Cost Set Up Fee Total Due Monthly $10.00 $10.00 $20.00 Quarterly $30.00 $10.00 $40.00 Yearly $120.00 $10.00 $130.00
Domain Hosting with Dial-Up Unlimited Internet Access 20MB Domain Website 5 Domain E-mail Addresses International Web Based Email	Cost Set Up Fee Total Due Monthly $24.95 $10.00 $34.95 Quarterly $69.95 $10.00 $79.95 Yearly $275.00 $10.00 $285.00
Premium Domain Hosting 80MB Domain Website 15 Domain E-mail Addresses International Web Based Email	Cost Set Up Fee Total Due Monthly $21.00 $10.00 $31.00 Quarterly $63.00 $10.00 $73.00 Yearly $250.00 $10.00 $260.00
Premium Domain Hosting with Dial-Up Unlimited Internet Access 80MB Domain Website 15 Domain E-mail Addresses International Web Based Email	Cost Set Up Fee Total Due Monthly $21.00 $10.00 $31.00 Quarterly $63.00 $10.00 $73.00 Yearly $250.00 $10.00 $260.00
Premium Domain Hosting, Dial-Up and Web Tracking Unlimited Internet Access Webtrends Website Tracking 80MB Domain Website 15 Domain E-mail Addresses International Web Based Email	Cost Set Up Fee Total Due Monthly $49.95 $10.00 $59.95 Yearly $535.00 $10.00 $545.00
Domain Parking 15 Domain E-mail Addresses International Web Based Email	Cost Set Up Fee Total Due Monthly $10.00 $10.00 $20.00 Yearly $100.00 $10.00 $110.00
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After you have filled out this form, press the "Submit" button at the bottom of the page. Print the page, then sign and fax or mail it to us. Your hosting package will be activated within one business day. For faster service, call us. Please view our Terms and Conditions on Internet Express' Website at http://corp.ixpres.com/about/termsconditions.asp. By submitting this form you agree to adhere to the Terms and Conditions posted on the Internet Express Website. (Please print, sign and fax or mail this form to us for confirmation of your order)
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