Virtual Server WEB SITE Order Form W8-CT
On your browser under file-print.. print this page.


Enter the domain name you have choosen for your website.
http://___________________________________________________________
Your domain name should be 16 characters or less and end with .com, .net, .org - shorter names are recommended.

Complete the following Information...
Your Name:____________________________________________________________
Company Name:_________________________________________________________
Your Position:_________________________________________________________
Street Address:_______________________________________________________
Mailing Address:______________________________________________________
City:__________________________________________________________________
State and Zip Code:____________________________________________________
Country:_______________________________________________________________
Voice Phone Number:_____________________________________________________
FAX Number:___________________________________________________________
Email Address:_________________________________________________________

Mark Your Web Site Selection...
Payment Method Self Service Site Standard Site Executive Site Corporate Site WebMaster Site
Monthly $29 per month plus $100 setup fee $49 per month plus $100 setup fee $69 per month plus $200 setup fee $89 per month plus $300 setup fee $289 per month plus $500 setup fee
12 Month Pre_Paid $348 $488 $728 $968 $2968
Indicate which Web Site package you want. Please remember that you can always upgrade to the larger packages and receive a full refund for all unused portions of your package. The unused portions are calculated on a monthly basis.
Mark Your Additional Web Site Options...
WEB SITE OPTIONS Self Service Site Standard Site Executive Site Corporate Site WebMaster Site
Listing in 16 Search Databases $75 $75 $75 $75 included
Credit Card Encryption (one time setup fee) $250 $250 $250 $250 included
Mark Your Web Site Expansion Selections...
Additional Storage Capacity In 10 Megabyte increments $10 per month or $95 per year
Additional manager accounts under your domain name EACH... $10 per month or $95 per year each
Additional Email Autoresponders under your domain name In groups of 5 $10 per month or $95 per year
Additional Email Mailboxes under your domain name In groups of 5 $10 per month or $95 per year

If paying by credit card, then complete the following...
VISA or Master Card and Account Number:_________________________________
Credit Card Expiration Date:____________________________________________
Cardholder's Name:______________________________________________________
Signature of Cardholder:________________________________________________

If paying by check, make check payable to Code Team-LBK, Inc..

Please be aware that the InterNIC will invoice you directly for an initial registration fee of $100 which pays for two years of registration.

We appreciate your business, and we will strive to provide to you the very best in quality and service.

Please feel free to contact us at any time.

Where did you find us?:_________________________________________________
Which Search Database?:_________________________________________________
Your Comments_____________________________________________________________
______________________________________________________________________________

Virtual Server WEB SITE Order Form W8-CT
Return to the web site ordering page.

Portions of the above are reproduced with permission from MSI Marketing, Inc. and Advanced Concepts.
All other material is Copyrighted 1997 by Code Team-LBK, Inc. All rights reserved.