Domain Order Form

Please fill out this form completely and press the button labelled Submit (at the foot of the page). Once your order is submitted we will provide you with a contract and make arrangements for billing and payment. If you have any questions, don't hesitate to contact us at support@onsiteserver.com.

Account Information

Domain Registration

New Domain Transfer existing Domain

Domain Name

Link to InterNIC to check whether your domain name is available (use your browser's Back button to return).

Plan Type

Plan Length

Special Instructions

Check here if you want Microsoft FrontPage extensions loaded for this account.

Subscriber Information

First Name

Last Name

Company Name

(If you are transferring an existing domain to this site, we recommend you use the same company name as you have on record with InterNIC)

Address

City

State/Province Zip/Postal Code

Country

Phone

Fax

E-mail Address

(a contract will be emailed to this address)

I have a current account with On Site Services

Account Information

Domain Registration	New Domain Transfer existing Domain
Domain Name	Link to InterNIC to check whether your domain name is available (use your browser's Back button to return).
Plan Type
Plan Length
Special Instructions
Check here if you want Microsoft FrontPage extensions loaded for this account.

Subscriber Information
First Name
Last Name
Company Name
	(If you are transferring an existing domain to this site, we recommend you use the same company name as you have on record with InterNIC)
Address

City	State/Province Zip/Postal Code
Country
Phone
Fax
E-mail Address	(a contract will be emailed to this address)
I have a current account with On Site Services