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A Little Technology Shoppe, LLC

Email Service Order Form!

PLEASE NOTE: The form below represents the information that must be present to insure that your Email order is processed.

IMPORTANT: If you are ordering an Email Account that you are reselling to a client, please use the text fields found below to enter information about your client. Be sure to check the "I am reselling this Email Account to a client" toggle box and include your reseller information in the locations provided before submitting your order.

Section 1
VIRTUAL HOSTING ORDER FORM
 GENERAL CONFIGURATION
Organization Name:
Please enter the name of the organization which will be using the Email Account Services. If you are reselling this Email Account, enter the name of your client's organization.
Organization Purpose/Description:
Four or five word description of the organization's purpose.

Organization Address:
City:
 Postal Code:
Country:
   United States        
State:
 Other
Province:

Country:

Organization Contact:
Phone Number:
 FAX Number:
 Net Mailbox:

Enter Desired Domain Name
(For Email Domain Name Hosting ONLY):
 . com
net
org 		  *Be sure to check the domain
  name availability using our
   Domain Name Check Form.
  Please be aware that Internic
  will bill you separately for
  any name you register. Their
  current charges are $100 for
  the first two years.
 
Email Account Option:

Desired Username(s):
Type any desired usernames here. POP has an 8 character maximum, Aliased is 40 character maximum.

Please indicate how you found out about our Email Services (check all that apply):
Reseller/Distributor
Client Referral
    Name of Client:

Newspaper
    Name of Newspaper:

Other Sources
If you are a hosting OEM and are reselling this hosting service, or if you are interested in becoming a hosting OEM, select the toggle box below.
I am reselling this Email Account to a client.

Section 2
RESELLER INFORMATION
Reseller Organization Name:
Reseller Address:
City:
 Postal Address:
Country:
   United States        
State:
 Other
Province:
Country:

Reseller Contact:
Phone Number:
 FAX Number:
 Net Mailbox:

All correspondence will be sent to the reseller and NOT to the client's company. The billing can either be sent to the client or the reseller. Select the toggle below if the virtual hosting information (including the billing) should be sent to you, the reseller.
Send all billing information to the reseller

Section 3
BILLING AND CONFIRMATION
Use Netscape compatible encryption to submit your order!
If you have any other questions in regard to billing, please refer to our billing information.

Please select one of the billing options below:

  Pay setup fee with credit card information below
  Credit Card:
 Credit Card Number:
  Expiration Date: (mm/yy)
 Credit Card Owner:
  Owner's Street Address:
 Owner's City, State, Zip
  Pay setup fee using other methods (please specify):
     
A Little Technology Shoppe, LLC requires that each Email Account User abide by the following:
(1) The Email Services shall not be used to store or disseminate obscene or pornographic material.
(2) The Email Services shall not be used for gambling or any other practice deemed illegal by the laws of the State of Connecticut and the US Federal Government.
(3) The Email Services shall not be used to store or disseminate material of a threatening or slanderous nature.
(4) A Little Technology Shoppe, LLC reserves the right to deactivate any hosting account, if the account is in violation of A Little Technology Shoppe, LLC operation procedures.
(5) The terms and conditions of the A Little Technology Shoppe, LLC Email Service Contract.
      Yes, I have read the terms set forth by A Little Technology Shoppe, LLC,
and agree to abide by them.

Order processing takes between 1-3 business days. Your Email configuration information will be sent to you via E-mail.

For billing inquiries, please see our billing page.

For those using browsers that do not support forms such as this, send mail to "sales@littletechshoppe.com". A sales representative will then contact you for additional information.

Send mail to: webmaster@littletechshoppe.com with questions or comments about this web site. Copyright © 1996,1997 A Little Technology Shoppe, LLC. All rights reserved. All trademarks are owned by the respective company or A Little Technology Shoppe, LLC.
Last modified: 2 June 1997