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Cybertec

Secure
Account Update
Form

CyberTec Account Information

Account / Subdirectory Name
(Less than 10 characters / Small letters / No spaces )

Password
(Less than 10 characters / Small letters / No spaces )

Credit Card Information Update

Credit card
Cardholder name
(Exactly as printed on credit card)
Card number  (No Spaces)
Expiration date  (mm/yy)

CyberTec Account Information Change Request
Please leave blank for no change requested

New Account / Subdirectory Name Requested
(Less than 10 characters / Small letters / No spaces )

New Password Requested
(Less than 10 characters / Small letters / No spaces )
New Password Re-Entered
(Less than 10 characters / Small letters / No spaces )

Contact Information Change Request
Please leave blank for no change requested

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

CyberTec Web Hosting Services Change Request
Please leave blank for no change requested

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.

Microsoft FrontPage Server Extensions Change Request
Please leave blank for no change requested

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 FrontPage server extensions installed in my directory.

CyberTec E-mail Services Added Request
Please leave blank for no change requested


Number
E-mail
Accounts

1 to 10 E-mail Accounts Included in Hosting Plans #2 - #8 - Free
Unlimited pop/smtp E-mail Accounts - $9.00/3months/E-mail
Please Specify E-mails usernames, Aliases, and Forwards
Example:
Email Account Name(Enter)
(Less than 10 characters / Small letters / No spaces)
Password Requested (Enter)
(Less than 10 characters / Small letters / No spaces)
Email Aliases separated by commas(Enter)
(Less than 10 characters / Small letters / No spaces)
Email Forwarding Address(Enter)
(Current email that you want all email forwarded to)
(Less than 10 characters / Small letters / No spaces)
Blank Line (Enter)

If you have trouble filling out this form as presented, please write down what you would like in plain English,  and we will make it so.

CyberTec Domain Name Services Added Request
Please leave blank for no change requested
(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


Number
Domain
Names

Main Domain Name Included In "Domain" Hosting Plans - Free
Unlimited Secondary Domain Names - $30.00/3 months
Please Specify Main & Secondary Domain Names and Directory
Example:
Main Domain Name(Enter)
Root Directory(Enter)
Space(Enter)
Secondary Domain Name(Enter)
Sub-Directory(Enter)
Space(Enter)

If you have trouble filling out this form as presented, please write down what you would like in plain English,  and we will make it so.

CyberTec Web Services Added Request
Please leave blank for no change requested

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 Added Request
Please leave blank for no change requested


Additional MB

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

Please Provide Any Special Ordering Information Or Instructions:
Please leave blank for no change requested
If you have trouble filling out this form in any manner,
please write down what you would like in plain English, and we will make it so.

How Did You Hear About Our Company? 

CyberTec Sales
Telephone:
410-429-0004
Fax:
Please call first.
E-mail: Just click on this email icon. 
Click Here To Send Email

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

This form was last updated on March 03, 2015.

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