Lite Web Hosting Signup Form

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 *  
Home Phone Number *  
Work Phone Number  


Step 2. Account Options- Level 1 Web Hosting
Account Term:
     Yearly
     Quarterly
- $96.00 / Year (Only $8.00/Month)
- $24.00 / Quarter
 
Server Type: *  


Step 3. Domain Name Options
New Domain Name Registration (All Entered Will Be Registered)

Domain Names must contain letters, numbers or dashes -Any other characters are invalid.
1. www.     Term
2. www.     Term
3. www.     Term
.com, .net, .org, .info, .biz, .us:
  8 - 10 years $10.95 a year
  4 - 7 years $12.95 a year
  1 - 3 years $13.95 a year
 

Click Here to Check Availability of Domain Names

Existing Domain Name Transfer

(Enter Up To 3 Domain Names You Would Like Transferred)
 
  Domain Name Username or
account number
Password
Lanset offers up to 3 free domain name transfers.

Please provide the corresponding username/account number and password for us to process the transfer. Or transfer them yourself by using the following name servers,

ns1.lanset.com 208.187.165.18 and
ns2.lanset.com 208.187.165.14
1. www.
2. www.
3. www.

Primary Domain

www.

If there is more than one domain, please tell us which of the above you want to be the primary domain, this will be the domain that will have the email accounts.


Step 4. Account Information
Username * Username can be from 5-14 Characters and must consist of Letters & Numbers only.

You will be automatically issued a primary email address. Your primary email address will be your username followed by @YourDomain.com.
(ex. "username@YourDomain.com")

Password must be from 5-14 characters -
Use ONLY numbers & letters & make sure to write it down.
Second Choice *
Password *


Step 5. Information Delivery *
  E-Mail Address (Required To E-Mail Instructions)
  Fax Number ( If No E-Mail Address is Available.) 


Step 6. Payment Information *
Credit Card Type For PayPal payments, you will be
contacted to complete the transaction.

Like To Send A Check??
This option is available only for Annual Accounts. Your account will be activated when payment is received.

Send your check to:
Hostik Web Hosting
10321 Placer Lane
Sacramento, CA 95827-2512
Credit Card Number
Expiration Date /
Billing Zip Code
CVV2 What is this?
Exact Name On Credit Card

    I have read Hostik "Terms Of Service" and agree to abide by it.



Submitting this form is 100% secure!!