Secure Order - Ground Zero Hosting

ORDER - PAYMENT

Data entered on this page is protected by 128 bit SSL SECURE ENCRYPTION.

If you wish to pay by check or money order please contact us to make arrangements.

Customer Contact Information
Full Name
Company Name (if applicable)
Street Address
City
State/Province
Zip/Postal Code
Country
Telephone Number
E-mail (No free webmail. No e-mail @ your domain.)

Please enter your address details as they appear on your credit card statement.

Billing Information
Name (as it appears on your credit card)
Billing Address
Card Type
Credit Card Number
Expiration Date - M/Y	/
Credit Card Verification #	On the reverse side of Mastercard & Visa credit cards, there is a number printed on the signature strip. The CVN is the last three digits at the end of your card number. For American Express this four digit number is on the front of your card, above and to the right of the card number.
Automatically Debit For Hosting Contract Renewal	Click to answer "yes". You will always receive an invoice before charges are made to the credit card on file. (recommended)

Domain Name Information
Domain Name	www.
Status	I will handle my domain name registration or transfer.
	Please Register this domain name for 1 year @ $12.00. (for .com, .net, .org, .info., .us, .biz. Click here for complete prices.)
Additional Options for Ordering Your Domain	Use my information for the Administrative Contact information. (recommended)
	Use my information for the Billing Contact information. (recommended)
	Have us be your Technical Contact. (recommended)

Service or Hosting Information
Username (automatically assigned if not specified)
Package
Billing Cycle
I require Frontpage Extensions	Check here if you'd like Frontpage Extensions installed.

Additional
Additional Comments Any additional info you think may be helpful.
How did you find us?
Other Referral URL (if applicable)
Promotional Code (if applicable)

Agreement of Services
	I understand that Ground Zero Hosting will provide technical support via email and online ticket system if a problem should arise with my service.
	I have read the Ground Zero Hosting Acceptable Use and Terms of Service posted here and agree to abide by them. I also understand Ground Zero Hosting has my credit card details on file and will debit my account for the amount of any fees incurred by any breach of these terms. No refunds will be given in these circumstances.
	I understand that details of this transaction are being recorded and that any unauthorized or fraudulent use of a Credit Card to gain access to our services will be pursued through all available law enforcement channels.

Your Credit Card will be billed as Ground Zero Software, Inc., our parent company.

Ground Zero Hosting
PO Box 1192
Madison AL USA 35758
Fax: 256.722.2043

Refunds: There are no refunds for domain registrations. New hosting accounts are covered by our unconditional 30-day money back guarantee. We will try our best to always make you happy with our services and continue to provide you with the best hosting services available. Please contact our support department if we can assist you.

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