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A Little Technology Shoppe, LLC (ALTS.NET®)

Virtual Hosting Order Form!
PLEASE NOTE: The form below represents the information that must be present to insure that your virtual hosting order is processed.

IMPORTANT: If you are ordering a virtual host 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 virtual host to a client" toggle box and include your reseller information in the reseller 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 virtual hosting. If you are reselling this virtual hosting, 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 Domain Name Hosting and Registration):
 . com
net
info
biz
org 		  *Be sure to check the domain name availability using our Domain Name Check Form.
The Domain Will be registered in your name through an Internet Registrar at the rate of USD$50/2 years.
 
Use Microsoft® FrontPage®.
Hosting Option:



 *Which virtual host is best for you? Find out by browsing through the hosting options.
Other Instructions (if required):
Type any additional instructions that you would like to include with your order.
Please indicate how you found out about our Virtual Hosting (check all that apply):
Reseller/Distributor
Client Referral
  • Name of Client:

Newspaper
  • Name of Newspaper:

Other Sources
A Little Technology Shoppe, LLC offers discounts for virtual host resellers. These discounts can range from 10 to 30 percent! 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 virtual host to a client.
Section 2
RESELLER INFORMATION
Reseller Organization Name:
Reseller ID: (if known)
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 Secure High Strength 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:

CVV2(Security Code located on back of Credit Card):

  Expiration Date: (mm/yy)
 Credit Card Owner:
  Owner's Street Address:
 Owner's City, State, Zip
  Pay setup fee using other methods (please specify):
     
      By checking this box, I agree to maintain my site with A Little Technology Shoppe, LLC for a minimum of 6 months and request any applicable discounts be applied.
A Little Technology Shoppe, LLC requires that each Virtual Hosting User abide by the following:
(1) The virtual host shall not be used to store or disseminate obscene or pornographic material.
(2) The virtual host 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 virtual host 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 Virtual Hosting 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 1-2 business days. Your virtual host 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.comwith questions or comments about this web site. Copyright © 1996-2001 A Little Technology Shoppe, LLC (alts.net®). All rights reserved. All trademarks are owned by the respective company or A Little Technology Shoppe, LLC.
Last modified: 12 November 2001.