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Internet-BC Order Form

I've read the terms of service and agree to all of them, and I wish to apply for a new hosting account.

We must be able to reach you at the email address that you provide, or no action will be taken. Most fields are required. If you have missed a required field, you will be reminded when you click on the submit button. Domain name registration and your initial hosting invoice must be paid by credit card (Visa or MasterCard) upon receipt of the invoice.

Use the tab key to move between fields, or click on the next field with your mouse.