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You must fill out all applicable areas or your account may be held for processing.

Do you accept our Usage/User Agreement? (you must select one)
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Organization:
Last, First Name:
E-mail address:
Telephone (include area code):
Street Address/Apt#:
City: State or Providence:
Zip Code: Country:

Check this box if you already have a domain registered through somewhere else.

Registration Company (who do you want us to register your domain name through)
Length of registration

Domain Information (ex: www.yourname.com)
Please replace the yoursite to the name of your domain.
Domain Name:

We will need to user name/password protect your ftp/upload directory to our servers.
Requested user name: Password:

Standard features included with all packages
Free Domain Registration or transfer, no setup fees, email services, unlimited 24 hour a day FTP, Daily Site Statistics, Front Page Server Extansions, Active Server Page Support, Restricted members directory and online administration area, Access Counter, Form mail CGI.

Additonal Features
Front Page Extensions (Free)
Password Protect Directory ($10.00 per month).

Payment (you must select one)
Your credit card will be billed for the amount you chose above by the company you chose to have register your domain. Your monthly hosting charges from BuckeyeNet can either be charged to your credit card or paid by money order/check. Without your credit card information we can not process your order. please contact us if there is some other way you would like to work out registration payment.
Visa Mastercard Card Number:
Expiration Date (mm/yy):
Account hold name:


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