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Web Site Signup To get started with your web site, please provide some basic information below. As soon as we receive this information, someone from our office will contact you. Items marked with are required fields. Contact Details: First Name  Last Name  Phone Number  Alternate Phone  Email  Address  Address2  City  State  Select a state... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming --- CANADA --- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territory Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip  Country  USA CANADA Web Site Name: Are you transfering an existing website that you own?  Yes  No            Transfer Domain name? www. If you are not transfering an existing website, choose 3 names for your web site that we should check for availability. Preference 1  www. .com .net .org .biz .info .us .tv Preference 2  www. .com .net .org .biz .info .us .tv Preference 3  www. .com .net .org .biz .info .us .tv Package Selection: Which web site package are you interested in? (Click here for Package Features/Charges) Starter Package Value Package Pro Package Not sure, contact me to discuss package details Payment Option: How would you like to pay? Annual Payment Monthly Payment ($2/month extra applies) Reference Name: Optionally, please provide the details of the person who referred us to you. Reference Full Name / Reseller ID# Reference Website