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Cybertec

Secure Order Form

I have read and understand the CyberTec Terms Of Service Agreement
* This box must be checked off before any orders can be processed.

   Please provide the following contact information:

First name
Last name
Middle initial
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
Current E-mail
Current URL

Please provide the following ordering information:

CyberTec Web Hosting Services

Plan #1: 5 MB "Do It Yourself" - $15.00/3 Months

Plan #2:  10 MB "Do It Yourself" 1 Email - $30.00/3 Months

Plan #3:  10 MB "Do It Yourself" 5 Email - $45.00/3 Months

Plan #4:  10 MB "Domain Forward-Do It Yourself" 10 Email - 
$75.00/3 Months

Plan #5:  25 MB "Domain Premium-Do It Yourself" Unlimited Email -  $105.00/3 Months + $30.00 Set Up

Plan #6:  10 MB "Support" 10 Email - $144.00/3 Months

Plan #7:  10 MB "Domain Forward - Support" 10 Email - 
$174.00/3 Months

Plan #8:  25 MB "Domain Premium-Support" Unlimited Email - 
$204.00/3 Months + $30.00 Set Up

Plan #9 "Custom Plan"  Let Us Know What You Need !
Please Provide Special Ordering Information Or Instructions Below.

CyberTec Account Information

Account Username Requested

Password Requested

Password Re-Entered

Microsoft® FrontPage® Server Extensions

I will be using Microsoft ® FrontPage® to publish my web site.  Please install FrontPage Server Extensions in my directory.

I will be using Ftp to publish my web site.  I do not need Microsoft® FrontPage® Server Extensions installed in my directory.

CyberTec E-mail Services

1 to 10 E-mail Accounts Included in Hosting Plans #2 to #8 - Free

Unlimited pop/smtp E-mail Accounts - $9.00 / 3months per E-mail
 

Please Specify Names Of E-mails Accounts Wanted


Please Specify Password
If Wanted, Please Specify Existing E-mail Address To Forward This Email Account To

Email #1  

Email #2  

Email #3  

Email #4  

Email #5  

Email #6  

Email #7  

Email #8  

Email #9  

Email #10

Password #1

Password #2  

Password #3  

Password #4  

Password #5  

Password #6  

Password #7  

Password #8  

Password #9  

Password #10  

Forward #1
  

Forward #2
  

Forward #3
  

Forward #4
  

Forward #5
  

Forward #6
  

Forward #7
  

Forward #8
  

Forward #9
  

Forward #10
  

 
CyberTec Domain Name Services
(Only use this section for Domain Accounts - Plans # 4,5,7,8)
 

New Domain Name Internic Registration - $70.00/1st 2 Years

Transfer Domain Name Internic Registration - Free

 Main Domain Name Included In "Domain" Hosting Plans - Free

Unlimited Secondary Domain Names - $30.00/3 months

 Please Specify Domain Names 

Domain #1
  

Domain #2
  

Domain #3
  

CyberTec Web Services

Web Site Design Service - $380.00/10 Hours

Unlimited Local Dial Up Internet Service - $60.00/3 months

Cybertec Resumes Online - $15.00/3 months

CyberTec Additional Web Space


Additional MB

Unlimited web space available
10 MB - $15.00/3 months
25 MB - $30.00/3 months

CyberTec Payment Information

Please provide the following payment information:

Credit card
Cardholder name
Card number
Expiration date  (mm/yy)

Please Provide Any Special Ordering Information Or Instructions:

How Did You Hear About Our Company? 

CyberTec Sales
Telephone:
410-429-0004

Email: Just click on this email icon.
Click Here To Send Email

CyberTec Technical Support
Telephone:
410-429-0004
Available;
9am-9pm EST (M-F)
Email: Just click on this email icon.
Click Here To Send Email

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