Innovative Minds: Website Hosting and Design Services


About Your Domain Name
Domain Name Please type your domain name in the box and select the relevant extention	Click here to see if your Domain Name is available.
International Domain Name If you wish to use a domain name from a different country please enter it here.
Your Domain Name Do you need a new domain or do you want to transfer a domain?

Your Password
Select Password Passwords are case sensitive

Your Contact Information
First Name:
Last Name:
Company Name:
E-mail Address:
Address 1:
Address 2:
City:
State:
Postal/Zip Code:
Country:
Phone Number:

Billing Information
Your Account How would you like to be billed?
Payment Type How Would You Like to Pay?
Credit Card Number:
Name on Card:
Start Date: (If Applicable)
Expire Date:

Reseller
RESELLER ID# (If Applicable)

Additional Features (please select the applicable check boxes to the right)
Extra 5MB of Space (UNIX / NT) You may purchase additional space at any time - if you know you need more than the given 50MB why not order more now. $5 per month
Secure Server (SSL) data encryption (UNIX / NT) Add this security feature to your package i.e. to accept credit card data encrypted over the Internet $69.95 setup fee + $9.95 per month
Virtual Anonymous FTP (UNIX ONLY) If you want to Yeser files to download then you need to have an ftp server so that people can get your files quickly and easily - ftp.yourname.com $49 setup fee + $5 per month
Additional POP3 Email Account (UNIX / NT) Additional pop3 email accounts are available so that you can receive and store e-mail on our servers. $5 per month Enter the additional POP3 account name Enter the PASSWORD
MS ACCESS ODBC (Database) Support (NT ONLY) This feature allows you to connect your web page/s to your Microsoft Access database files for real-time accessing. $19 Setup + $9.95 per month
Password Protection on Directories (NT ONLY) This feature allows you to add security to your selected web directory by password protecting it. This feature is available on our UNIX servers for free. $19 Setup + $9.95 per month
Web Design Our professional web design team can build and create your site just how you want it. If you want one of our designer to contact you please select this option. Please allow 12 hours time for phone response.

Other Information
Your Comments Have You Any Other Comments or Requests?