Neverhost.net – Never worry about your hosting again!
Hosting service order form             1.0 BETA updated June 9, 2004                         

Please fill out this form, save it, and send it via e-mail to orders@neverhost.net 
 to customize and complete your order!
Any questions or concerns are welcome via either contact method. 
We will contact you to finalize your order and arrange payment.

This order form is used for a variety of account setups, please

Please provide the following contact information: *=required
*Name:	
Title:	
Organization:	
*Daytime Phone:	(___) ___ - _____ Secondary : (___) ___ - _____
Fax:	
*E-mail Address:	
*Street Address:	
*City:	
*State/Province:	
*Zip/Postal code:	
*Country:	
Please provide the following ordering information:
*Hosting Package choice:
View choices Here (http://neverhost.net/pages/plans.htm)
(  ) Economy, (  ) Business Class,
(  ) First Class, (  ) Custom – Fill out               Applicable info, send, and we will call you. 
*Domain Name : 	
*Register domain ? (if your domain is not registered yet, we will register and point it for you, see pricelist) 
(  ) Yes
(  ) No, it is already registered, I will point my name servers to ns1, ns2, ns3.neverhost.net ( support )*Do you agree to our Terms of Service? : (http://neverhost.net/tos.htm)
(  ) Yes, I agree. 
(  ) No, I do not agree. 


Admin Mailbox:  	This will be the primary e-mail account for the domain and will have the ability to create and manage all other mailboxes, aliases, lists, etc. for the domain via a web interface: ( support ) Please choose an :
Account name: ____________  
Password:  _________ you can change your password within web mail
Catch-all:	Should the above mailbox be a catch-all account and receive all mail for the domain by default ?  (We suggest Yes – you can manage this online later) 
(  ) Yes  (  )  No
FTP account:	Choose a username and password for FTP access (used to upload content to your web directory
Account name: ____________  
Password:  _________
Webserver OS: 	We have both Windows 2003 webservers, and FreeBSD UNIX webservers. Windows is the default and recommended choice because of automated tasks and file backups happening on our end, in some cases though UNIX is required. Both support CGI/PHP/mySQL/Etc. You must have at least a Business class package to choose UNIX. 
(  )  Windows 2003 Sever – default
(  )  FreeBSD UNIX
Demographics
Location:	Location for your web demographics, for example if you want this information at www.yourdomain.com/demo choose “demo”
(  )  /demo 
(  )  /usage - default
(  )  /webalizer
(  )  other /_________
Password protect ?	Should we password protect your demographics folder ? 
(  )  No - default
(  )  Yes – username: ________ password: _________
Term:	Your account can be registered and renewed on a monthly or annual basis. We strongly recommend annual as it is much easier for both us and our customers to manage – we also grant a significant price discount for annual accounts. Either way you can cancel at any time and receive a full refund within 30 days, or a prorated refund after that.  
(  )  Annual – recommended default
(  )  Monthly
 
Page 3 – Payment selection and further info


Payment method:	We have many payment methods available. In most cases we will send you an invoice and direct you to one of our online payment methods. If you would like to pay securely by credit card, Paypal, or direct funds transfer from CIBC, Bank of Montreal, Scotiabank, TD Canada Trust, or Royal Bank of Canada – choose this method. 
(  )  Invoice me and I’ll pay online - recommended
(  )  Invoice me and I’ll send a cheque
(  )  Other ___________ (call us)	
		
Anything else: 	If there is anything else you require, or any questions you have feel free to include the info on this form, in an e-mail, or contact us by telephone. 	
		
		
		
		
		
Thank you for your order! We will contact you as soon as possible to confirm any details needed, and set up your accounts right away.