Web Site Hosting Signup Form: Please provide all of your information below. We will be in contact with you very soon to discuss your account and payment options. Contact Name:  Business Name:  Address: City, St, Zip: Phone:    Fax: Email Address: Domain Name: Is this a New Domain Name?: Yes No Are you transferring an existing Domain Name: Yes No Hosting Plan Type: Shared - Beginner $12/mo Shared - Basic $18/mo Shared - Standard $26/mo Shared - Advanced $34/mo Private - Beginner $20/mo Private - Basic $30/mo Private - Standard $40/mo Private - Advanced $50/mo Service Term: 6 Month 12 Month 24 Month Management Service: Self-Managed $60/mo Fully-Managed $90/mo     Please enter your comments or questions (No URL's): All plan features are included in both the Self-Managed and Fully-Managed accounts. Self-Managed Account: (included with all virtual accounts) - You're provided with your own Control Panel to manage all aspects of your account, except website techincal support. We provide the technical support to ensure that your website is working Fully-Managed Account: $90(2hr.) or $60(1hr) per month - We manage all aspects of your website including everything in the Self-Managed Account shown above.