Home | Nexicom - Connected. Naturally.
Application for Services – Web Package / Domain Registration
|Customer |
|Company Name: | |Date: | |
|Contact Name: | |Account No.: | |
|Home Phone: |( ) |Agent: | |
|Email Address: | |CSR Completed: | |
|Admin Name: | |Admin Phone: |( ) - |Admin Email: | @ |
|Tech Name: | |Tech Phone: |( ) - |Tech Email: | @ |
|Domain Name: | | New Domain | Transfer Domain | |
|Privacy: Prevents customer information from displaying on Whois, this is currently not available for Corporations using .ca (please contact CIRA for more |
|information). |
|For .ca or .on.ca Domains, please define the Legal Type: | |
|Briefly Describe the Organization that the Domain is Being Registered For: |
|Web Packages |
|Hosting |Disk |Anti-Spam |Email |Monthly |1 Year |2 Years |
|Package |Space |Anti-Virus |Accounts | | | |
|Bronze |1 GB |Free |200 | $9.95 | $107.40 | $202.80 |
|Silver |2 GB |Free |500 | $14.95 | $161.40 | $304.80 |
|Gold |4 GB |Free |1000 | $19.95 | $215.40 | $406.80 |
|Platinum |6 GB |Free |1500 | 29.95 | $323.40 | $610.80 |
|SSL – Secure Socket Layer | $99.00 | $198.00 |
|NOTES: All packages include one Domain Registration of .com, .net, .org, .biz or .info. Additional $19.92 one time yearly charge applies to registration of .ca |
|or .on.ca. Additional $59.95 one time annual charge applies to registration of a .tv domain. A minimum of six months of Web Hosting is Required for the one |
|Domain Registration to be included in monthly hosting rate. |
|Custom Web Design Quotes | $ |
|E-Commerce Solutions Available Upon Request | $ |
|Domain Parking | $49.95 per Year |
|Email Spam Filtering | .95¢ per Account (minimum of 10 accounts) |Number of Accounts: |
|Domain |.com, .net, .org, .biz, .info |Domain Name: | $30.00 per year |
|Registration Only | | | |
| |.tv |Domain Name: | $69.95 per year |
| |.ca, .on.ca |Domain Name: | $45.00 per year |
|Customer Name: |Signature: |Date: |
|INTER|OpenSRS | New | Transfer | No Transfer |User Name: |Password: |
|NAL | | | | | | |
|USE: | | | | | | |
| |DNS | Add – if required | Update – if required |Hosting Server: |
| |Control Panel | Add Client | Add Domain |User Name: |Password: |
| |iVue | Add New | Update Existing |Customer ID: |
| |Notes: |
| |CSR Name |Signature: |Date: |
-----------------------
Nexicom
5 King Street E., Millbrook ON L0A 1G0
Phone: 705-775-6394 or 1-888-NEXICOM
Fax: 705-932-2329 or 1-877-634-8148
[pic]
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.