Affordable, Reliable Web Site Hosting - Ordering Information

ordering information

Filling out your Registration Information

Filling out the following form completely will help speed up the registration process when you choose MiraLynx for your site hosting and/or site development needs.

If you would rather we ask these questions via phone, please call us at 1.800.227.7777 or E-mail us at info@miralynx.com providing us with your telephone number. We will contact you promptly.

Registration Information Form:

Where Did You Hear About Us?

New Domain or Transfer Existing:

New ($70.00 to InterNic) Transfer

Available Domain Name To Set-up Or Transfer:
(www.yourname.com)

Choose the User Name You Want:

Note: Must be 6 to 10 characters - all lower case with numbers and letters only - no spaces or other characters - subject to availability.

Choose the Password You Want:

Note: Must be 6 to 10 characters - all lower case with numbers and letters only - no spaces or other characters - subject to availability.

Choose Hosting Plan:

Plan A: 50 MB, $30.00/mo
Plan B: 100 MB, $40.00/mo

Note: A $70.00 domain name registration fee will also apply for new domains.

Additional Features:

Will you be requiring SSL encryption? (needed for online credit card ordering) $10.00 extra per month	Yes No
Would you like more information on how MiraLynx can drive targeted traffic to your site? (Click here for more info)	Yes No
Would you like MiraLynx to design and develop your site? (additional fees will apply)	Yes No
Would you like more information on adding 360° embeded vr panoramas to your site? (Click here for more info)	Yes No
Will you need e-commerce software installed on your site?	Yes No
Will you need database integration added to your site?	Yes No

Client Contact Information:

InterNIC Handle:
Note: leave blank if you have not been assigned one by Network Solutions
First Name:
Company:
Address #1:
Address #2:
City:
State/Province:
Zip/Postal Code:
Phone Number:
Fax Number:
Your Current E-mail Address:

InterNic Registration Information:

Owner's Name: (your name or company name)
Owner's Address:
Owner's City:
Owner's State or Province:
Owner's Zip/Postal Code:
Owner's Country: (example: United States)

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