The Host Group Logo       New Account Order Form
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Thank you for choosing THE HOST GROUP.  Please complete the entire form below to order your web hosting package.  New accounts may be eligible for instant set up.  In this case, you will receive a confirmation email from us with your new account credentials in less than 10 minutes. 
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Please enter your domain name www.
Choose your hosting plan
Choose your hosting plan term      (Must be annual for $4.95/month plan)
How did you hear about us?  
Do you already own this domain name?
  YES             NO
To register a new domain name, please click here.    
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All information below should match information on your credit card.
Select a user name     (6-8 characters please)
First name    
Last name  
Company name     (optional)
Street address  
City  
State  
Zip code (7 digits)  
Country  
Phone number    (555) 555-5555 x555
Email address    (not linked to this domain)
Verify email address  
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Name as it appears on credit card  
Card type  
Credit card number
   (e.g., 1234-5678-9101-2345)
Expiration date   /
Security code:
    Last 3 digits on back of card (4 digits on AMEX)
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Please press to review your order  
In order to reduce instances of fraud and spam on the web, we reserve the right to delay or refuse any new application that does not pass our quality standards.  As a part of this application process, we will also capture your IP address and other identifying information about this order.    By pressing the button above, you consent to all of our policies and terms of use, including any changes posted to our website in the future.  You agree to pay all charges made to the credit card listed above for the services listed above including all recurring charges in the future until you provide a valid cancellation notice in accordance with our policies and terms of use.  please review our policies here
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