1. Choose one of the following options:

   Choose an option Virtual Server 10000mb space $10.95m Virtual Server 20000mb space $29.95m Virtual Server 30000mb space $39.95m Webhosting Web Design Training other

    

   Choose one of the following options:

   Choose an option I need a free Web Space of 20 MB I have a Domain name I need to Register a Domain Name I just want to Resell i just want a WEB SITE other

    

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2. Choose One Pay-Pal MasterCard Visa DiscoverCard Money Order $ Payment Options

    

   Please Check the box's below that apply to you!

   I want my own Name Servers ( Extra fee's apply)

   I want kbbcomputers to register a Domain Name ( Registration Fee's apply )

   I want FrontPage Extensions installed

   Domain Name

   New Domain  Existing Domain

   User Name
   Password
   Confirm Password

    

   
   

3. Please provide the following contact information

   Note: if you selected to have kbbcomputers to register

    a domain for you the information below will be

   used to register your domain:

    

   Name
   Title
   Organization
   Street Address
   Address (cont.)
   City
   State/Province	e.g:  (NC)
   Zip/Postal Code	e.g: (28584)
   Country	(US)
   Work Phone
   Home Phone	digit then a space e.g.: 1 252 393 1111
   FAX
   E-mail

4. Please give your D.O.B:

   You must be 18 or older or have a parent signature to sign up

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5. Submit the form  to us ...Please enter your message:
    

   X________________________________________ Parents Signiture if under 18 X_______________________________________
   

We will reply to your questions ASAP.