Order Form

To get started
Please fill out this form completely and press the submit button.

If You Do Not Receive The Setup Email Within 48 Hours
Please Contact: website@JDwebsites.com.

Registration		New Domain (All new domains will be billed an additional $30.00/year for domain registration with Internic.) Transfer of Existing Domain (previously registered with InterNIC)
Domain Type
Customer Type		New Customer Existing Customer

Front Page Ext:

Domain Name
	*This will be your Primary Account, if you purchased a reseller account, all resold accounts will be billed against this primary account*
	.com .net .org
Password	*(10 Character Min. - Numbers and Letters only)*
Company Name
Address

City
State
Zip/Postal Code
Country
Day Phone
Night Phone
Fax
First Name
Last Name
	Where would you like the setup information to be emailed? This should be different from the domain you are transferring.
Email Address

How did you find out about us?
Special Instructions & Comments:

Each account is billed from the 1st day of the present month regardless of the signup day. All new domains will be billed an additional $30.00/Year for domain registration with Internic.

By Submitting this order you hereby agree with the
"Terms of Service" & "Acceptable Use"
policies of JDwebsites

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