MCR Hosting & Domain Registration and Renewal Services & Website Design & Development

Basic Hosting - Order Form

Cost: Only $20.00 per month! Billed Quarterly Setup Fee: FREE 500 MB Disk Space 10 GB Monthly Bandwidth 500 E-Mail POP Accounts No Limit to # of Website Pages!! Personal Information:

Domain Name:
Is Your Domain Name REGISTERED?
What Type of Website?
First Name:
Last Name:
Company:
Address:
City:
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Zip/Postal Code:
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Phone:
Fax:
E-Mail Address:


Hosting Account Information:

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