Service Form

( Not Required) * Domain Transfer or Renewal (you already have a domain you want to transfer or you would like to point your existing domain to our servers.) www.	( Not Required) * New Domain Name ($35.00 Value) Free with plans. Or buy your name here for $8.75. Check domain availability Here www.
Company you bought the name from	New E-mail address

Customer information:

* First Name:
* Last Name:
Name of Business:
* Address:
Address Line 2:
* City:
* State:
* Zip Code:
* Phone Number (Include Area Code)
Fax Number (Include Area Code)
E-mail Address

Please choose the services you will require below. If you have not spoken to a sales rep before filling this form out someone will be contacting you shortly. If you are calling any one else for these services do not sign up with them. Just see what they charge because:
WE WILL BEAT ANY PRICE!

Transfer to us	New Credit Card	Custom Plan
Add a special effect	Page updates	DSL
Basic Internet Access	6X faster Internet Access	6 months dial up
12 months of dial up	6 months 6 X faster	12 months 6X faster
Domain Registration	Hosting 250 MB	Hosting 350 MB
Hosting 550 MB	Win Hosting 200 MBS	Win Hosting 300 MBS
Win Hosting 500 MBS	1 to 5 web pages	6 to 10 web pages
11 to 15 web pages	16 to 20 web pages	800,000 Search engines
Reseller 1000MBS	Reseller 2000MBS	SEO Search Engine Optimization
Reseller 2500MBS	Reseller 3000MBS	Reseller 4000MBS
Reseller 5GB	Reseller 10GB	Reseller 20GB
Reseller 40GB	Reseller 60GB	Reseller 80GB
Flash Banner	E-commerce	Renew Domain Registration
Order Forms	Logo Design	Database
Shopping Cart	Flash Intro Movie	Message Board
Member Area Login	Chat Room	SSL Certificate
Renew Hosting	Dedicated Server	Dedicated Ip address
Web site builder 5 page	Web site builder 10 page	Web site builder 15 page
Web site builder 20 page	Web site builder 25 page	Web site builder 30 page

* Do you want the Shopping Cart System?

* Would you like the Marketing Campaign
$35.00 a month

* Where did you here about our service?

* Signature Here.

By choosing this you are stating that you are hiring us.
Please check any special features that you might need:
All fields below are optional and only apply to web design orders.

Order Forms Logo Design Database

Shopping Cart Javascript Flash Intro Movie

Member Area Login Chat Room Interactive Flash Menu

Secure Pages Message Board Advanced Flash Features

Comments*

( Not Required) *

Home | Dial U Domain Registration
Updated October 2006

For more information, please contact us by using one of the following:
Ph: (561) 718-1148 Fx: (561) 547-7747 Email: webmaster@AAAComputerDesign.com
For more information, please contact us by using one of the following:
Ph: (561) 718-1148 Fx: (561) 547-7747 Email: webmaster@AAAComputerDesign.comons to Search Engines | SEO[ProjectEmail].

Lowest cost Internet access, Domain Registration, Hosting, Web design, Submissions to search engines.
We'll beat any price!

All copyrights, logos, trademarks & images are hereby acknowledge as/and are owned by their respective companies/owners!