Organization Name: Please enter the name of the organization which will be using the virtual Server. If you are reselling this virtual Server, enter the name of your client's organization.

Organization Purpose/Description: Four or five word description of the organization's purpose.

Organization Address:

City:

Country:
United States - State:
Other - Province: Country:
Postal Code:

Organization Contact:

Phone Numbers:

Email Address:

Desired Domain Name (if applicable): .
com net org info biz
*Be sure to check the domain name availability.

Length of Initial Registration Desired: 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years
We register your desired domain name in YOUR NAME and Your Company's Name Domain Registration Charges with an Authorized Internet Registrar (Internet Names WorldWide). We will bill you the registration fee of USD$25.00/year* for any name you register.
*Reseller Discounts Apply.

Due to the method that Microsoft® FrontPage® interacts with the server, we need to know if you expect to use FrontPage® to maintain your site. Select the toggle below if you intend to use Microsoft® FrontPage® to maintain your site.
Use Microsoft® FrontPage®.

*Which virtual host is best for you? Find out by browsing through the Unix Hosting Options.
SubDirectory Hosting - $15 setup (Select Size Below)
Domain Name Hosting - $25 setup (Select Size Below)
Domain Name Registration Only - $25 setup (Select Size Below)

Size:

None *Available for Domain Name Registration Only Option
20MB for $9/month
40MB for $16/month
60MB for $21/month
75MB for $28/month

Next Section (Server Options should not be filled out if Virtual hosting is desired)

*Which server is best for you? Find out by checking the comparison page.
100MB Standard Unix Virtual Server ($35 Setup + $50/Month)
400MB Deluxe Unix Virtual Server ($35 Setup + $90/Month)
800MB Royal Deluxe Unix Virtual Server ($35 Setup + $225/month
100MB Standard Miva Merchant Unix Virtual Server ($50 Setup + $85/month
400MB Deluxe Miva Merchant Unix Virtual Server ($50 Setup + $125/month
800MB Royal Deluxe Miva Merchant Unix Virtual Server ($50 Setup + $275/month
400MB Deluxe Solaris Virtual Server ($50 Setup + $150/month
800MB Royal Deluxe Solaris Virtual Server ($50 Setup + $325/month
Dedicated BSD UNIX Server ($750 Setup + $1400/Month)

Additional Disk Space required (MB). Cost is $0.50/MB/month.
Yes! I want SSL Compatible Encryption Support for my Virtual Server for $5/Month with $50 setup. ALREADY INCLUDED IN MERCHANT SERVER PRICING.
Yes! I want ColdFusion for my Solaris Virtual Server for an additional $20/Month. Only available on the Deluxe and Royal Deluxe Solaris Virtual Servers.

Other Instructions (if required):
Type any additional instructions that you would like to include with your order.

Please indicate how you found out about our services (check all that apply):

Reseller/Distributor
Client Referral - Name of Client:

Newspaper - Name of Newspaper:

Other Sources

A Little Technology Shoppe, LLC offers discounts for Virtual Server resellers. These discounts can range from 5 to 30 percent! If you are a Server OEM and are reselling this Server, or if you are interested in becoming a Server OEM, select the toggle box below.

I am reselling this virtual server to a client.

Reseller ID:

Reseller Organization Name:

Reseller Address:

City:

Country:
United States - State:
Other - Province: Country:
Postal Code:

Reseller Contact:

Phone Numbers:

Email Address:

All our correspondence will be sent to the reseller and NOT to the client's company. The InterNIC billing can either be sent to the client or the reseller. Select the toggle below if the virtual hosting information (including the InterNIC billing) should be sent to you, the reseller.

Send all billing information to the reseller

Please select one of the billing options below:

Pay setup fee with credit card information below:
Type of Card:

Credit Card Number:

Expiration Date: (mm/yy)

Name as Listed on Card:

Billing Address for the Card:

City, State, Zip

Pay setup fee using other methods (please specify):
Check, Money Order or Wire Transfer. Please note that your order will not be processed until funds are received.

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A Little Technology Shoppe, LLC requires that each Virtual Server User abide by the following:

(1) The virtual server shall not be used to store or disseminate obscene or pornographic material.

(2) The virtual server shall not be used for gambling or any other practice deemed illegal by the laws of the State of Connecticut and the US Federal Government.

(3) The virtual server shall not be used to store or disseminate material of a threatening or slanderous nature.

(4) A Little Technology Shoppe, LLC reserves the right to deactivate any Server account, if the account is in violation of A Little Technology Shoppe, LLC operation procedures.

(5) The terms and conditions of the A Little Technology Shoppe, LLC Virtual Server Service Contract.

Yes, I have read the terms set forth by A Little Technology Shoppe, LLC,
and agree to abide by them.

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