High End - .NET Windows Ecommerce Hosting Services Sign Up Form

We have tried to make this as painless as possible. Fill out each section that applies to begin a new site. This page is SSL protected with a 128Bit Comodo SSL Security Certificate. Your information is secure and will be kept private for the sole use of Resposio.com, LLC.

Domain Name for account being added: If you don't have a name yet. Put in what you want the account known as.

Site Owner

Bill To Designer/Developer
First Name: Last Name: Organization/Company:

Street Address 1:
Street Address 2:
City:
State/Province: Zip Code: Country:
Work Phone:
Cell Phone:
Fax:
E-mail:
URL:

Designer/Developer

Check if same as Owner/Billed to
First Name: Last Name: Organization/Company:

Street Address 2:
Street Address 2:
City:
State/Province: Zip Code: Country:
Work Phone:
Cell Phone:
FAX:
E-mail:
URL:

Payment Information

Please Email Me A Monthly Invoice
Email address for billing
Bill Credit Card Monthly (Preferred Method)
VISA
Master Card
American Express
Discover
PayPal
 
Name On Card:
CC Number:
CC exp. Date:
***Please make sure your credit card address matches the address you entered above.

Site Access Information - FTP

User Name: 6 char min. Select an access type:
FTP Access (recommended type)
Password: 6 char min.

Hosting Plan Selection - Review Plans

Pro Plan W/SQL Shared Hosting Pro Plan ($50.00/mo.)
Premium W/SQL 20 Site MAX on server Premium Plan (150.00/mo.)
Split Dedi 2 Clients Only
Level-1 Server class		 Split Dedi
(250.00/mo.)
(200.00 Setup)
Level-1 Dedi Your own server - Level 1. Level-1 Dedi
(450.00/mo.)
(300.00 Setup)
Level-2 Dedi Your own server. RAID5 Level-2 Dedi
(650.00/mo.)
(350.00 Setup)
OPTIONAL SERVICES
Add SSL 2yr Pro Authenticated (125.00/2yr.)
Add Promotion Automatic site submissions (30.00/mo.)

Email Services:

If we will be performing email services, what address would you like for the admin account?
@yourdomain.com
What would you like for the admin email password?

Comments:

Any comments?

Terms & Conditions:

I have read and agree to the terms and conditions (Terms and conditions link)


Type the numbers shown into the empty Box on the left.

Client Experience

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America's #1 Medical Equipment & Supply Superstore
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Wood & Metalworking Tools
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Kites, Toys & Trinkets
View Experience

Security Center

Checking out? SSL security for your customer's private information is not an option to consider with ecommerce. It is necessary. More information