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Name:


E-mail:


Choose a Hosting Plan:
Glimmer Glisten Gloe Custom

How many months/years would you like to purchace for?:
*

What name would you like? (Please make sure the name is availiable and note that you must add $9 to the final price for a domain name) If you do not need a domain, type in "none".
*

Select your form of payment (PLEASE REMEMBER that Paypal credit card payments are not accepted.):
Paypal Money Order Cheque*

If you chose Paypal, what is the e-mail I can expect payment from? (If you are not paying by paypal type in "none"):


Promotional Code: (Otherwise leave blank)


Comments or Questions Optional(If you chose a custom plan, please type in your specifications here.)

 

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