Please Fill Out The Form Below To Order Our Services. By Using The Latest RSA Encryption Technology, This Form is Fully Encrypted Once Submitted To Us.
PLEASE READ THE TERMS & CONDITIONS BEFORE PROCEEDING ON WITH YOUR ORDER.
Domain Name:
www..
New Domain Transfer of an existing domain
Nic Handle:
(If you have an InterNIC handle please enter it here, not necessary for domain transfers)
Package 1
US$30 monthly fee. (US$100 setup)
Package 2
US$50 monthly fee. (US$100 setup)
Package 3
US$100 monthly fee. (US$100 setup)
Rider Domain
US$90 A Year
How did you find us?
Other:
(Please be as specific as possible)
Your Name: (Last,First)
Organization:
Phone:
Fax:
Email:
Address:
City:
State / Province:
Zip / Postal Code:
Country: *
Description: *
Please briefly describe (25 words or less) the organization or purpose for which this domain is being registered.
Payment method:
Choose a payment method:
Card Number:
Exp. Month:
Exp. Year (4 digit):
Name on Card:
Once we receive your order for service, we will contact you with all information you will need for access to your site. We at Graphic Connections look forward to having a business relationship with you.
