Spam Filtering Signup Form

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*  
Work Phone Number*  
Contact E-Mail Address*  


Step 2. Account Options- Spam Filtering
Account Term:
     
     
10 mailboxes - Only $4/Month
50 mailboxes - $15 Monthly
100 mailboxes - $25 Monthly
500 mailboxes - $100 Monthly
1000 mailboxes - $150 Monthly
Unlimited mailboxes - $200 Monthly
 
   
Domain Name* www.  
   


Step 3. Where Did You Hear About Us? *
Lanset Web Site Print Media:     
Friends/Family Members Internet Search:
Other: Lanset Subscriber Other:              


Step 4. 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.

Print a completed form and mail 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!!