Hosting Masters Domain Registration Order Form

Domain Name Registrations - $29/year

Note: we only register .com, .net and .org domain names.

First Name:

Last Name:

Email:

Business or Site Name:

Address:

City:

State or Province:

Zip or Postal Code:

Country Code (aa):

Telephone:

Specify Domain Name

Check New Domain Availability Before Ordering

Include the ".com" or other top-level domain suffix (e.g., fred.com).
Domain name:

Payment Information
Select one of these payment options. Your account will be billed $29 annually until you advise us more than 30 days prior to the date of expiration each year.

Bill to this web site hosted by Hosting Masters:
Domain: Domain Password:

Visa MasterCard Discover American Express

Credit card number:

Expiration: Month: Year:

Cardholder Name:

Street Address:

City, State/Province, Country:

Zip/Postal Code:

Issuing Bank:

Customer Service Phone Number (back of card):

Will mail check or money order (must be in U.S. dollars, and either drawn on a U.S. bank or a postal money order - our address). Note: we must receive payment before this order will be filled.

Bill to reseller account - Reseller email address: Reseller Information

Please be patient and hit Send only once.

http://hostings.com

First Name:
Last Name:
Email:
Business or Site Name:
Address:
City:
State or Province:
Zip or Postal Code:
Country Code (aa):
Telephone: