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Options Order Form

To protect your privacy, we use highly secure order processing. This means your payment information is entered using a secure server and your credit card information is transferred internally using SSL, the most powerful encryption available. 

To order additional options for your account, use the form below. 

If you are submitting a credit card payment for a monthly or quarterly invoice, your credit card will be re-billed each for your payment period. If you would rather re-submit your payment each pay period, please choose "Don't charge my credit card each pay period automatically" in the Payment information section.

If you have any problems submitting your payment, please send an email to Billing@OnTimeHost.Com


Domain Information
Domain Name
Your Username
Payment Description

 
Payment Information
Options Package
Other Total Payment   Only, If you choose (Other or Special Plan) on options package
Payment Period
Charges Method

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

 
Billing Information
Visa

Visa
MasterCard

master card
American Express

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

 

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!




By submitting this payment, you agree to accept the OnTimeHost  policies and guidelines

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