Domain Name Park Order Form
...............................
What is Domain Name Parking? Domain Name Parking
is when you want to secure the domain name, but do not want to set
up a full webhosting account. The cost for the domain name is $24.95
which is for 1 year. We will park it for free.
Required
Name
:
Business Name (if applicable):
Address:
City:
State:
Zip:
Social Security:
Federal ID Number:
Telephone:
Fax:
Current Email:
Domain Name Requested/Owned*
New Domain Name Parked (Free)
Domain parking means you want to secure your
domain name but you do not want a webhosting
account. Choose this option if you just want to register and park your new domain name.
Please note charges apply for registering the domain name but it is parked for free.
How many years?
Domain Name Pointer ( $8.00 per
month)
A pointer is just pointing one domian name to another. You would have primary and secondary domain names/websites. When someone types in your secondary website, they would automatically be re-directed (pointed) to your primary website.
Optional Service
Additional Info That You Would Like To Add
Payment Information
For your safety and
ours, your IP# or address has been logged.
Plant Telecommunications must receive your payment before your domain name can
be registered and parked.
Please note, if you are located outside the State of Georgia, you must pay
with a credit Card or . You can print and
fax this form to 229-528-1125.
Credit Card
Check
If you would like
to pay by Credit Card, please input your Credit Card information here:
Card
Type: Name on Credit
Card: Card number:
e.g., 4123-4567-8910-1234
Expiration date:
1
/
