Hosting Order Form

Order now!

You can order right away! Simply fill out this confidential and secure order form and submit it. We suggest a few easy steps to follow when ordering on-line. Following these steps will aid us in servicing you faster and speeding the process along:

1) Carefully review the material on our website or other information documents you may have acquired.

2) Based on your situation, select the services you feel would be best for you.

3) Fill out the on-line order form completely including your name, address, products/services requested and credit card information and submit it or print this page and send the form to us with your payment (money order or travelers check).

4) You will be contacted by e-mail or by phone confirming your order and welcoming you to UNYGLOBE, Inc.!

If you have any questions we invite you to call us at 310.945.5601

CONTACT INFORMATION

Your Name:

Company Name:

Address:

City:

State/Providence:

Zip Code

Country:

Phone #:

Fax #:

E-mail:

WEB HOSTING INFORMATION

Where did you hear about us?

Domain Name
(non-com,net,org choose other, list domain in Special Instructions) .
New Existing

Please select Web Hosting Plan:

Special Instructions:

WEB SITE FEATURES

What is your Home Page name?

Do You Need FrontPage Extensions? Yes No

Will you be using Active Server Pages? Yes

Will you be using Microsoft SQL? Yes (NT Professional, NT Enterprise or NT High Volume plans only)

Will you need Statistics on you site? ($5/mo.) Yes (NT Professional, NT Enterprise or NT High Volume plans only)

Will you be using Microsoft Access? Yes (NT Professional, NT Enterprise or NT High Volume plans only)

Payment Information

Please select a Payment Type

For Credit Card Purchase click below:

QUARTERLY WEB HOSTING CREDIT CARD ANNUAL WEB HOSTING CREDIT CARD

If paying by any form other than Credit Card, please print this page and send the completed form, with your payment (money order or travelers check only), made out to UNYGLOBE, Inc. 10008 National Blvd., Los Angeles CA, 90034.

Internic Contact Information
Important If the administrative, billing or technical contact information for Internic registration is different from above, please, enter it in the box below:
Administrative Contact
Billing Contact
Technical Contact
By completing and submitting this form, you give authorization for UNYGLOBE to setup hosting services for you. You also agree to be liable under the terms and conditions below. (By ordering our services, you agree to abide by UNYGLOBE's Acceptable Users Policy and accept the Terms and Conditions as specified in UNYGLOBE's Customer Agreement Contract )