DINOS SERVERS

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WEB HOSTING ORDER FORM

Organization name


	Domain Name
	TLDs Domain Registration Domain Availabilily Free Domain Name Hot Domain Names


	Web Hosting
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CHOOSE AN OPTION

FREE DOMAIN NAME WEB SITE PACKAGES Package A $162.00/year. Package 1 $192.00/year. Package 2 $252.00/year. Package 3 $312.00/year.

REGULAR HOSTING PACKAGES Package A $13.50/month x 3 months = $40.50/quarter Package 1 $16.00/month x 3 months = $48.00/quarter Package 2 $21.00/month x 3 months = $63.00/quarter Package 3 $26.00/month x 3 months = $78.00/quarter

TRANSFERED DOMAIN YEARLY PACKAGES OR ACCOUNT RENEWALS transfered domain package A $ 92.00/year. transfered domain package 1 $122.00/year. transfered domain package 2 $182.00/year. transfered domain package 3 $242.00/year.

FREE WEB DESIGNER ACCOUNT FREE.

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Pay by Credit Card Online Pay by Check
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Card Number: (Required)
Expiration Date:
(Enterlike MM/YY)(Required)
Note: if you wish to pay
with check, your order
will be processed
after we receive your check.
Please make checks payable
to: B.M.V. Trade (in US funds)

Please enter identification password. Please memorize the password. You will use it for online order forms and other requests. Password: Enter password again:

Special instructions

Source of information about us:

Online CHECK Info (USA only) *Please use the check at the right* *to complete the information below.*	*The sets of numbers are not always in this order
Name On Check	("A" from above)
Address on Check:	("A" from above)
Bank Name:	("B" from above)
Bank City & State:	("C" from above)
Check Number:	("D" from above)
A.B.A. Fraction:	("E" from above)
Routing Number (9 Digits):	("F" from above)
Account Number:	("G" from above)
All Numbers From Bottom of Check: (see instructions to right) This is Redundant, but it will insure accuracy.
Amount of Check:
Memo

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