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General Information
Full Name
Title
Company
Address
City
Zip Code
State
Country
-- Choose Country --
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan Republic
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde Islands
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Cote d Ivoire (Ivory Coast)
Croatia, Republic of
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Fiji
Finland
France
French Guiana
French Polynesia
Gabon Republic
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Kazakhstan
Kenya Coast Republic
Kiribati
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts-Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Western Samoa
Yemen
Yugoslavia
Zambia
Zimbabwe
-OTHER-
Telephone
E-mail
Product Information
Product Type
-- Choose Product Type --
Shell
Psybnc
Eggdrop
IRCD
Webhosting
Managed Server
Shoutcast
Package
-- Choose Package --
Plan 1 - ($5 per month)
Plan 2 - ($8 per month)
Plan 3 - ($12 per month)
Package Term
-- Choose Package Term --
1 Month
3 Months
6 Months
1 Year (One month free!)
User name
Password
Secret Question
-- Choose a secret question --
What is the name of your first school?
What is your mother's maiden name?
What is your father's middle name?
What is your favorite food?
What city were you born in?
What is your pet's name?
Secret Answer
Package
-- Choose Package --
Plan 1 - ($4 per month)
Plan 2 - ($7 per month)
Plan 3 - ($11 per month)
Package Term
-- Choose Package Term --
1 Month
3 Months
6 Months
1 Year (One month free!)
Ident
Password
Secret Question
-- Choose a secret question --
What is the name of your first school?
What is your mother's maiden name?
What is your father's middle name?
What is your favorite food?
What city were you born in?
What is your pet's name?
Secret Answer
Package
-- Choose Package --
Plan 1 - ($4 per month)
Plan 2 - ($7 per month)
Plan 3 - ($10 per month)
Package Term
-- Choose Package Term --
1 Month
3 Months
6 Months
1 Year (One month free!)
Ident
Nickname
Admin Nickname
Admin Password
Home Channel
Server
Secret Question
-- Choose a secret question --
What is the name of your first school?
What is your mother's maiden name?
What is your father's middle name?
What is your favorite food?
What city were you born in?
What is your pet's name?
Secret Answer
Package
-- Choose Package --
Plan 1 - 100 users ($15 per month)
Plan 2 - 500 users ($30 per month)
Plan 3 - 1000 users ($40 per month)
Package Term
-- Choose Package Term --
1 Month
3 Months
6 Months
1 Year (One month free!)
User name
Password
Secret Question
-- Choose a secret question --
What is the name of your first school?
What is your mother's maiden name?
What is your father's middle name?
What is your favorite food?
What city were you born in?
What is your pet's name?
Secret Answer
Package
-- Choose Package --
Plan 1 - ($5 per month)
Plan 2 - ($10 per month)
Plan 3 - ($15 per month)
Package Term
-- Choose Package Term --
3 Months
6 Months
1 Year (One month free!)
SSL Certificate
-- Choose --
Yes
No
Domain Name
Web ID
Password
Secret Question
-- Choose a secret question --
What is the name of your first school?
What is your mother's maiden name?
What is your father's middle name?
What is your favorite food?
What city were you born in?
What is your pet's name?
Secret Answer
Package
-- Choose Package Plan --
AMD Plan 1 - (AMD 1400+, 512MB, 40GB) - $129.00 USD
AMD Plan 2 - (AMD 2400+, 1GB, 120GB) - $149.00 USD
AMD Plan 3 - (AMD 4200+, 1GB, 200GB) - $210.00 USD
AMD Plan 4 - (AMD 2xOpteron246, 1GB, 200GB) - $310.00 USD
INTEL Plan 1 - (INTEL Cel1GHz, 512MB, 40GB) - $129.00 USD
INTEL Plan 2 - (INTEL P4-3GHz, 1GB, 200GB) - $195.00 USD
INTEL Plan 3 - (INTEL D940, 1GB, 200GB) - $230.00 USD
Backup Service
-- Choose Backup Service --
No Backup ($0)
15 GB Remote Storage ($10/month)
30 GB Remote Storage ($20/month)
Package Term
-- Choose Package Term --
1 Month
3 Months
6 Months
1 Year (One month free!)
Wheel Account
Password
Root Password
Secret Question
-- Choose a secret question --
What is the name of your first school?
What is your mother's maiden name?
What is your father's middle name?
What is your favorite food?
What city were you born in?
What is your pet's name?
Secret Answer
Managed Technical Information
Operating System
-- Choose OS --
FreeBSD 4.xx Latest
FreeBSD 5.xx Latest (recommended)
FreeBSD 6.xx Latest
Windows 2003 Standard (FREE for all plans, LIMITED OFFER)
Linux CentOS 4.xx
Linux Debian 3.x Latest
Linux Fedora Core 2
Linux Fedora Core 3
Linux Fedora Core 4
Linux Slackware
Linux Solaris
Linux Gentoo
Other (Specify in comment field)
Partitioning
Server hostname
(ie servername.yourdomain.com)
IP Allocation
-- Choose IPs amount --
/30 block (2 usable IPs)
/29 block (6 usable IPs)
/28 block (14 usable IPs)
/27 block (30 usable IPs)
/26 block (62 usable IPs)
/25 block (126 usable IPs)
/24 block (254 usable IPs) (?)
ReverseDNS NS
(ie ns1.yourdomain.com)
ControlPanel
-- Choose Control Panel --
None ($0)
Webmin ($0)
DirectAdmin ($0)
cPanel (FREE for all plans, LIMITED OFFER)
Plesk (FREE for all plans, LIMITED OFFER)
Plesk + PowerPack ($10/month)
Package
-- Choose Package --
Plan 1 - 32 listeners ($25 per month)
Plan 2 - 64 listeners ($35 per month)
Plan 3 - Unlimited listeners ($50 per month)
Package Term
-- Choose Package Term --
1 Month
3 Months
6 Months
1 Year (One month free!)
Password
Secret Question
-- Choose a secret question --
What is the name of your first school?
What is your mother's maiden name?
What is your father's middle name?
What is your favorite food?
What city were you born in?
What is your pet's name?
Secret Answer
Payment Information
Payment Method
-- Choose Payment Method --
Credit Card
Western Union
Wire Transfer
Card Provider
-- Choose Card --
Master Card
Visa Card
Discover Card
Name on Card
Card Number
CVV2
Bank Phone Number
Card Expiration
-- Month --
01 (Jan)
02 (Feb)
03 (Mar)
04 (Apr)
05 (May)
06 (Jun)
07 (Jul)
08 (Aug)
09 (Sep)
10 (Oct)
11 (Nov)
12 (Dec)
-- Year --
2006
2007
2008
2009
2010
2011
2012
After submitting information, we'll e-mail you back with the required information to finish the proccess
After submitting information, we'll e-mail you back with the required information to finish the proccess
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