Point & Click online e-commerce store builder with FREE 30-day trial gets your store open fast

Domain Name Information

Domain Name:

Billing and Contact Information

Name:

Phone:

Company Name:

Fax:

Type of Business:

E-Mail:

Address:

City:	State:	Zip Code:

Country:

Choice of Hosting Plan

Select the hosting plan that you want:

Merchant-in-a-Box^SM (browser-based) Plan

200 MB of disk storage for your webpages
25 POP3 E-Mail address (yourchoices@yourdomain.name)
WebMail Access and browser-based Control Panel
E-Mail Alias, Forwarding, and Auto-responder included
Merchant-in-a-Box E-commerce system
SSL Secure Site
$50.00 one-time account setup fee
$74.95 per month price, prepaid quarterly

Choice of Store Setup

Your Merchant-in-a-Box account provides the option, at no additional cost, to host your own web site in addition to your store. Please choose carefully from the two options below:

Online store only (Easy) - Typing www.yourdomain.com will go directly to the first page of your online store

Online store and deluxe web site (Advanced) - We will create two accounts for you - the online store and a completely separate web site. You can design and publish your web site using any html/web tools you wish and hyperlink your online store to any page of your web site. For your web site, please select the desired publishing method:

		FTP - File Transfer Protocol
		FrontPage - Supports Microsoft FrontPage '97, FrontPage '98, FrontPage 2000, and FrontPage 2002 Server Extensions

Additional Information

Billing Information

All accounts are prepaid quarterly and auto-renew unless cancelled before the expiration of the current term. No refunds are provided for early cancellation/termination. Billing is provided by our parent company and will be listed on your credit card statement as "SPIV Technologies Group".

Credit Card Information

Type:

Visa

Master Card

Amex

Discover

Account Number:

Expiration Date:

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