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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)

Bullet3.gif (104 bytes)Have you cheecked whether the domain name that you will be registering is available?
If not check first before filling out this form.

Bullet3.gif (104 bytes)Please enter the domain name that you would like to register.

Bullet3.gif (104 bytes)If you will be registering only one domain, please click here.

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

Select Plan Email Addresses Web Space Cost Setup Total
Web Spinner 1 10 Mb $9.95 $20.00 $139.40
Web Slinger 3 20 Mb $14.95 $20.00 $199.40
Web Master 5 50 Mb $19.95 FREE $239.40
Archive 10 100 Mb $29.95 FREE $359.40

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.

Mailbox1 Password1
Mailbox2 Password2
Mailbox3 Password3
Mailbox4 Password4
Mailbox5 Password5
Mailbox6 Password6
Mailbox7 Password7
Mailbox8 Password8
Mailbox9 Password9
Mailbox10 Password10

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.

Username: Password:

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

Your Name: Daytime Phone
Company Name: Evening Phone
Address Fax
City/State/Postal Code Email Address
Country

Step 7 - Billing Information

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

  Card Number   Expiration Date

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

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