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Complete the form below so we can gain the necessary information to start hosting your site. After you submit the information below and agree to our TERMS AND CONDITIONS, you will then be directed to the next step in the order process. You will be given the opurtunity to choose your plan and payment through our PayPal system. All information given is confidential and not given nor sold to any third party.

NOTE: Fields in RED are REQUIRED
Contact and Domain Info:
Name:
Company:
Address:
Phone:
City:
Fax:
State:
E-mail:
Zip:
Country:
Domian Name WWW.    

Your Domain Name ( www.mywebsite.com ) must be registered with a domain registrar. Once we have received payment for your plan and you have agreed to the TERMS AND CONDITIONS, we will send your password and log in for your domain name, email, ftp and control panel. We will also send you our name servers to point your domain name. You will need to contact your registrar with our name servers. Switching a domain name can take up to 72 hours depending on the registrar you are currently registrered. Junction Web Hosting will be glad to assist you with this process or assist you in registering your domain name. Simply check the boxes below that apply to you and one of our staff will contact you.

 
Yes, I need help with my        Domain Name
Registering
Switching Hosting Companies
 
No, I own my Domain Name      

I Have Read and Agree with Terms and Conditions