Virtual Host Registration and Order Form

This is the first step toward a successful Internet Presence on our fast Virtual Servers. Please provide the following information so that we can set up an account for you. Simply complete this On-Line-Registration Form and within a very short time you'll have access to our Virtual Servers. It's that easy.

First name  
Last name  
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail  
URL (if applicable)

Please select the Virtual Host Server type you are interested in.
All Prices are in US$ per month:

Type of Virtual Host (select one) 1.0 meg* 2.0 megs* 4.0 megs* 10.0 megs* 20.0 megs*
Non-Domain Name Virtual Host $ 5.00 $ 7.00 $10.00 $15.00 $20.00
Domain-Name Virtual Host $ 8.00 $10.00 $13.00 $18.00 $23.00
Domain-Name Virtual Host with  FTP $9.00 $11.00 $14.00 $19.00 $24.00
Domain-Name Virtual Host with Front Page 97/98 $10.00 $12.00 $15.00 $20.00 $25.00
  * For additional features
   please consult here.

If you are interested in our Non-Domain Name Virtual Host, please enter your
choice of directory name in the spaces provided below (all in lower case, up
to 12 letters with no spaces):

http://www.abitmark.com/
(example:http://www.bitmark.com/yourfirstchoice)

http://www.abitmark.com/
(example: http://www.bitmark.com/yoursecondchoice)

If you're interested in our Domain-Name Virtual Host and  already have your own URL which should be transferred to our servers, then please indicate it here:

Should you not yet have your own Domain Name (and would like to have your pages hosted on our Domain-Name Virtual Host), would you like us to register a Domain Name for you with InterNIC?

Yes, please register a Domain Name for me/us with InterNIC.
No thank you. Not at this time.

If yes, enter your Domain Name choices in the space provided below.
(Remember, only a max. of 23 characters can be used and all should be in
lower case letters, no spaces allowed, hyphen allowed):

http://www. .com (your first choice)
http://www. .com (your second choice)

Please select the size of your Server:


For how long would you like to have your web pages hosted?

Would you like us to register your Home page with the most popular Search Engines:

Yes, pleases register my Homer Page with popular Search Engines;
No thank you. Not at this time.

How would you like to pay us?
(Click on above link to select your preferred payment method)

Payment to be made by check or Money Order;
Payment to be made by Visa or MasterCard:

Total amount to be paid:
Please add up all the features you want and enter the total amount in the box. Please do not forget the one-time set-up fee of $35.00 should you be interested in one of our Domain-Name hosts and/or $5.00 for Search Engine registration.
Should you not enter the correct $ amount in the box above, then we cannot consider your registration. Thank you.

I/we have included in the above amount:
 $35.00 for the one-time set-up fee (Domain-Name servers only); and/or
$ 5.00 for registration of my/our home page with popular Search Engines.

Briefly describe your site:

Indicate some keywords for your site:

Would you care to make some observations and
comments or do you need more information?

Are you interested in e-mail aliases?
 Yes:
  No thank you.

Should you be interested in e-mail aliases, please indicate what aliases you have in mind and where the aliases should be re-directed to.

Example: If you would like to have the alias: "roger" it can be re-directed to your original ISP-supplied e-mail address which could be: mycompany@worldnet.att.net.
Thus you could use this e-mail address in your web pages: roger@bitmark.com and it would be re-directed to: mycompany@worldnet.att.net

1st alias: @abitmark.com directed to >
2nd alias: @abitmark.com directed to >
3rd alias: @abitmark.com directed to >
Example: roger@abitmark.com will be re-directed to: mycompany@worldnet.att.net

Please read our Policy Statement:

Yes, I/we have read your Policy Statement and accept it.
No, I/we have read your Policy Statement and DO NOT accept it

Enter today's date:

  -- mm/dd/yy

As soon as we receive above registration form, we'll send you an e-mail confirmation of your registration along with a re-confirmation of fees for your selection.

Thank you for having chosen bitmark.com as your web presence provider.

| To Top | Table of Contents | What USA Today has to say about us |

Copyright © 1998 Bitmark, Inc. All rights reserved.