Step 1 - Domain Registration
If you would like a (www.yourname.com) domain name, please enter your first 3 choices in the boxes below in the order of importance. If you've already registered the domain name, and you just need it transferred here, just fill in the boxes, and we'll take care of the rest. We will set up your first domain with us for FREE. (an Internic Registration Fee of $70.00 will apply. This will be billed by the Internic and not Cobsweb.net)

Have you cheecked whether the domain name that you will be registering is available?
If not check first before filling out this form.

Please enter the domain name that you would like to register.

If you will be registering more than one domain, please click here.

.com .net .org .edu .to .cc

Step 2 - Domain Hosting Services
Choose the plan that best meets your needs.

Step 3 - Email
Choose a mailbox name and password for mailboxes in your domain. (Example: Mailbox1: johndoe@yourname.com  Password: 123456) Note that passwords may contain numbers and/or letters and must consist of no fewer than 6 characters.

Step 4 - Security
In order to edit your new web site you will need to be able to upload files to the server. To do this, we require a username and password(so that no one can edit your site but you) Please Choose a username and password in the space provided below. Note that passwords may contain numbers and/or letters and must consist of no fewer than 6 characters.

Step 5 - Scripting
(If you don't know or if this does not apply to you, just leave this area blank)

My Site requires CGI/Pearl
My Site requires MS Front Page Extensions98
My Site requires somthing special (Please specify below)

Step 6 - Contact Information

Step 7 - Billing Information

Option 1
I prefer to be billed on my Credit Card/Bank Card   Monthly   Quarterly    Anually

Visa Master Card Discover American Express Visa Check Card Master Card Check Card   Card Number   Expiration Date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1999 2000 2001 2002 2003 2004 2005 2006 2007

Option 2
I prefer to pay by check anually. I am sending the full anual amount as listed above for one year of service. Please note that domain names cannot be registered until payment has been received. Mail Payment(along with this form) to: Cobsweb.net PO Box 904 Indian Trail, NC 28079

Step 8 - Optional Information
Please provide a brief description of your web site so that we may list you in our business directory.

I have read, understand, and agree to the terms and conditions