Website Hosting Account Request Form

My name is Matt McWilliam and I will personally respond to your request within 24 Hours, 7 days a week. I would be glad to also answer any questions you may have at that time. Hosting accounts typically take 30 minutes to setup after payment confirmation. If you have a Domain Name already registered, please have registrar login info available.

For immediate service, please call (216) 469-9207 or Toll Free (877) 216-1175.

Website Hosting Accounts Include:

600MB of Disk Space
25GB of Monthly Bandwidth
Unlimited Email Accounts @yourdomain.com
Graphical Website Traffic Analysis (Webalizer)
Control Panel Access (CPanel X)
24/7 Tech Support
MySQL, CGI, Perl, PHP, SSL
Frontpage Extentions
Unlimited Domain Parking, Sub-Domains, Mailing Lists,
Auto-responders, Email Forwarding
and more!

(*) Indicates Required Field

*Contact Name:

Company Name:

*Street Address:

*City:

*State & Zip Code:

Zip

*Primary Phone Number:

Alternate Phone Number:

*Email Address:

*Preferred Contact:

Website Address(es):

*Will you need website design?

*Approximately how many pages will your website have?

*Types of webpages your site will require:

*Please describe how you envision your website design & list any design requirements:

Total Project Budget:

Existing websites that closely match the design or functionality you want for your website:

Additional notes, requirements or comments that you feel are important to know in the design process:

Additional questions or concerns:

*How did you hear about us?