OnTimeHost.Com - Full Featured Web Hosting from $9.95 per Month, FREE setup

Co-Location Server Sign-up Form

Server Information
Main Domain Name
Chose Username	maximum 12 characters
Chose Password	maximum 12 characters

Select Your Plan*


(If you have selected a co-located server a representative from OnTimeHost will be contacting you shortly to get you started)
Basic 1U to 4U Rack/Tower: $124 per month, $125 setup fee 5 IP.
High End 1U to 4U Rack/Tower: $179 per month, $150 setup fee 5 IPs.
Co-Located Half rack: $279 per month, $300 setup fee 20 IPs.
Co-Located Full rack: $549 per month, $300 setup fee 60 IPs.
Co-Located Suite (8 x 8): $1750 per month, $750 setup fee 128 IPs.
Options
CPanel/WHM ($24/license/month): IP's: above what your package comes with: Extra Individual IP's ($1/month/IP): Monitoring: $5 per service: Yes No Remote Rebooter: $50 setup, $5 per month per port: Yes No

Contact Information

Contact Name
Company
Address
City
State/Province
Zip/Postal Code
Country
Tel. No
Fax No
Email Address

Billing Information

Visa

master card

American Express

Card Number	no spaces
Name On Card
Card ID Number

Expiration Date

Month

Year

Card Statement Address
City
State/Province
Zip/Postal Code
Country

Wire Transfer Wire Transfer If you are doing a wire transfer, leave the credit card information blank and check this box (OnTimeHost will email you wire transferring instructions upon receipt of your order)

Check CheckIf you are paying by check, please make sure to pay close attention to our policies regarding check payment as they are very strict and can result in a delay in your service setup.

We show & record your IP address
Credit card fraud is a felony and we will aggressively prosecute anyone attempting to misuse a credit card number.
We track every transaction and will use all means available to prosecute persons attempting fraud.
IF IT'S NOT YOURS, DO NOT USE!

I have read, understand, and agree to all of OnTimeHost's Hosting policies:
Yes No *

*OnTimeHost will not process orders unless you agree to all terms and conditions as outlined in our policies.

How did you hear about us?

Comments / Special Promotion (describe if any)?

Note: You should receive your new server information via email within 12 hours.
If you do not, please contact Cs@OnTimeHost.Com.



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