Domain registration form WEB HOSTING
Name
Email address
Space In MB	:
No. of Months	:
No.of Domains with IP
No. of Domains Without IP
Total No. of Domains
Annual Charges	:
ADD-ONS	:	MSAccess
		SQL
		Index Server
		Java Servlet
Add-Ons-Annual Charges	:
Virtual DNS		-- Yes No
Setup fee
Charges
Total Charges
Telephone/Walk-in Support		-- Yes No
Charges
On-Site Support		-- Yes No
Charges
Total Hosting Charges
Total Hosting Charges After 6% Tax
	: