Sign-up Form for VH2000 Web Hosting Service.
Fill in the fields in order
and click the "Record Data" button.
*
= required
Customer Name
* Name
Company
e.g.: ABC Industries Inc.
, or Individual
e.g.: Jim Smith
Account Contact
* Name
Responsible person in company above, or individual above.
* Address 1
Street address or PO number for contact
Address 2
Additional address line.
* City, ST Zip
e.g.: Cincinnati, OH 45202
* Phone
10-digit + ext. Non-num ignored. Stored as: 513.555.1212.789
Fax
Enter 10-digit Phone Number, or blank.
* E-mail
Enter full address.
e.g.: joetarbell\@aol.com
Unix Account
* ID
Suggest an account ID of 3 to 8 letters (lower case) or digits. Other characters deleted.
* Password
Suggest a password of 6 to 16 letters or digits. Case is maintained.
Internet Domain Name
* Domain Name
e.g.: tophat.com
Undeliverable Email
Default Mail Box
Undelivered mail
will be sent to the AutoForward address, or if that is blank, to the default mail box. You will set up mail boxes for your organization later,
so the AutoForward address must be a valid address at another domain.
Autoforward
Internet & Web Info
Web Name
Entry point for HTTP.
e.g.: www.domain.com
VH 2000 Gold
Lite
Hold
Select Service Level
WebMstr Email
Email address of person to receive web site status reports
Start Up Date
Date started.
Billing Related
P.O. / Card #
Enter your Purchase Order number or a Credit Card number.
Exp Date
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1999
2000
2001
2002
2003
2004
2005
For a credit card, set the expiration date.
VH 2000 has a setup fee
and
Taxable?
Yes (For Profit)
No (Non-Profit)
monthly charge.
Billing Period?
Monthly
Quarterly
Annual
Comment
Notes/Comments