1stHostWeb: Domain Registration Form
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One Year Domain Registration

Total Cost: $39.95
If you are a current web hosting customer your domain name may be pointed to your existing domain using the form below.
If you are not a current web hosting customer your domain name will be parked at no charge until you A) set up hosting for the domain or B) transfer the domain name to a new host.

Billing Information

Your Name*

Company Name if Applicable

Address*

Address 2

City*

State*

Country*

Zip Code*

Telephone (add extension if applicable)*

Email Address*

Domain Information

Domain Name (domain.com)*

Do you want your new domain name to point to an existing hosted
website? *

Yes

No

If yes, which site?

Agreement of Services

By submitting this order you agree to and confirm that you have read our Terms and Conditions (see link below)

Step 2: 

After completing this form you will be taken to our secure server area for payment. We accept Visa, MasterCard, Discover, American Express, Diners, JCB and debit cards with the Visa, MasterCard logo.

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