Domain name ownership is very important. Mistakes in titling domains can be very costly, difficult, and tedious to resolve.
The domain name should ALWAYS be registered to the business or person who actually owns the business if this order is a new domain.
If the domain name section is not filled out at right, the domain name will be titled the same as the hosting account.
Fields are required / How do I know my information is secure?
How did you hear about us?
Please specify :
Domain name this order is for:
Which situation applies to this domain name?
Switching hosts Why? Register this domain myself Register domain name for me ($10/year) Number of years:
The following information is for the company, organization, or person that will own the domain name and hosting account. If the domain name ownership is different from the hosting account and you've asked us to register your domain name, please fill in the informaiton for the domain name. ONLY FILL IN DOMAIN NAME IF THE OWNERSHIP IS DIFFERENT.
Contact Name:
Organization Name (if applicable):
Type of Organization (optional):
Address:
Address #2 (optional):
City:
State:
Postal Code:
Country:
Daytime Telephone Number:
Fax Number (optional):
E-mail Address:
If billing information is different than customer information, check this box:
Billing Name:
Billing Address:
Billing Address #2 (optional):
Billing City:
Billing State:
Billing Postal Code:
Billing Country:
Billing E-mail Address:
Please select your hosting plan options here.
A note on account passwords: You may select a desired password in the field below; however we recommend you let us generate a secure password.
Desired password (8 chars):
Hosting Rates (All Rates are in US Dollars) Ecommerce: $54.95 (annual), $56.95 (quarterly) Preferred Maintenance: $39.95 (annual), $41.95 (quarterly), $44.95 (monthly) Regular: $10.95 (annual), $12.95 (quarterly), $15.95 (monthly) NPO: $100.00 (annual only) E-mail: $60.00 (annual only) 3rd-level domain: $40.00 (annual only) Mirror: $40.00 (annual only) Domain name: $10.00 (annual only)
Universal Currency Converter ™
Preferred Maintenance Regular Ecommerce (ECT cart, shared SSL) Non-Profit E-mail only 3rd-Level (something.domain.com) Mirror Domain name only
Annual Quarterly Monthly
Microsoft .NET Macromedia ColdFusion Linux Account No special setup
No Cart at this time ECT X-Cart Zen Cart
Install SSL certificate
For annual billings, Antares Development will invoice customers so payment can be made by check. For monthly or quarterly billing, payment must be by credit card or PayPal.
Payment Method:
Invoice (annual only) Visa MasterCard Discover American Express PayPal
Credit Card Number:
Expiration Date:
Cardholder Name:
Card Billing Address (if different):
Card Billing Postal Code (if different):
By checking this box, I am certifying that I have read the hosting agreement and terms of service for this account and agree to be bound by all terms of the contract.
Additional Comments:
SECURITY NOTE: You know your information is secure if your browser is displaying a "lock" symbol or the address bar reads "https" at the start of the address. Antares Development uses state of the art 128 bit SSL security to protect your private information.
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