Website Hosting Account Order
- Your
account will be setup within 24 hours.
For security reasons, new accounts are setup and verified
every day at around 7:00AM US Central Time.
- You must
fill out the entire form, all fields are required.
- We must
receive payment first before we can setup your account.
- This
order form works for only PayPal and Major Credit Card use. We
do provide international ordering and ordering using other
credit cards, please contact us using
this form
to receive a payment link.
|
|
User Information: |
|
First Name: |
|
|
Last Name: |
|
|
Address: |
|
|
City: |
|
|
State: |
|
|
Zip code: |
|
|
Country: |
If your country is not listed, please e-mail
sales@hawkinshosting.com |
|
Contact Infomation: |
Phone Number:
ex. (555)-555-5555 |
|
|
Primary Email Address:
(you@site.com) |
|
|
Alternate Email Address:
(you@site.com) |
|
|
Optional Features: |
|
Backups: |
|
|
Support: |
|
|
Hosting Settings: |
|
Domain Name:
(yoursite.com) |
(Note: You must included domain extension i.e. .com ) |
Select a User Name:
(first character cannot be a number) |
(8 Letters Max) |
Select Password:
(4-12 characters) |
|
|
FrontPage Ex. : |
(Not recommended unless if your going to actually use It) |
|
Who Referred You to Us?: |
|
Domain Referral:
(theirsite.com) |
(optional)
Please enter the domain that directed you to our website. |
|
Price Settings: |
|
Yearly Payments: |
|
|
Monthly Payments: |
Note: You can only choose one payment time
option!
|
|
Select Method: |
|
|
|
|
|
