A note about confidentiality: Hostik values privacy and has a strict confidentiality policy. We will not give out any customer information to any other party. The information you provide here is only used in relation with services provided to you by us.

Step 1. Subscriber Information
First Name * * Indicates required field
Last Name *  
Company/Organization  
Street Address 1 *  
Street Address 2  
City *  
State/Province *  
Zip/Postal Code *  
Country *  
Primary Phone Number *  
Work/Cell PH. Number  

Step 2. New Domain Name(s) To Register

Click Here to Check Availability of Domain Names

You can register from 1 to 10 years.
.com, .net, .org, .biz, .info, .us

Enter Up To 3 Domain Names To Be Registered (All Entered Will Be Registered) Maximum Length: 67 Charachters

1. www.           Term
2. www.           Term
3. www.           Term

Step 3. DNS Server Information

Primary DNS DNS information is only necessary if your web site is going to be hosted by another provider, other than Hostik.

If you are unsure about this option, leave the existing server names.
Secondary DNS

Step 4. Account Plan

.com, .net, .org, .info, .biz, .us:
                                                 8 - 10 years $10.95
                                                 4 - 7 years $12.95
                                                 1 - 3 years $13.95
.com, .net, .org is $13.95 a year
                                                                                                  .info, .biz, .us is $13.95 a year
$63.90 a year

   Please enter the domain name you want to use for email server. Choose your domain name from Step 2 above.
   Domain Name:   www. (example: yourdomain.com)
    If your domain name is registered by another provider, you must change the DNS to our DNS server or we will not be
    able to process your email server:
    Primary DNS: ns1.lanset.com
    Secondary DNS: ns2.lanset.com
Comments

Step 5. Information Delivery *

  Current E-Mail Address : 

Step 6. Payment Information *

Credit Card Type For PayPal payments, you will be
contacted to complete the transaction.

Like To Send A Check??

Your Domain will be registered when payment is received.

Print a completed form and mail to:
New Accounts
10321 Placer Lane
Sacramento, CA 95827-2512
Credit Card Number
Expiration Date /
Billing Zip Code
CVV2 What is this?
Exact Name On Credit Card



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