A Little Technology Shoppe, LLC

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

IMPORTANT: If you are ordering a Virtual Server 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 server to a client" toggle box and include your reseller information in the locations provided before submitting your order.

Section 1:

GENERAL CONFIGURATION

Organization Name:
Please enter the name of the organization which will be using the virtual Server. If you are reselling this virtual Server, enter the name of your client's organization.

Organization Purpose/Description:
Four or five word description of the organization's purpose.

Organization Address:

City:

Country:
United States - State:
Other - Province: Country:
Postal Code:

Organization Contact:

Phone Numbers:

Net Mailbox:

Desired Domain Name: . com   net   org   info   us   biz
*Be sure to check the domain name availability
using our Domain Name Check Form.

Length of Initial Registration Desired: 1 Year 2 Years 3 Years4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years
We register your desired domain name in YOUR NAME and Your Company's Name Domain Registration Charges with an Authorized Internet Registrar (Internet Names WorldWide). We will bill you the registration fee of USD$25.00/year* for any name you register.
*Reseller Discounts Apply.

Server Option:

250MB Standard Unix Virtual Server ($35 Setup + $50/Month)
600MB Deluxe Unix Virtual Server ($35 Setup + $90/Month)
1200MB Royal Deluxe Unix Virtual Server ($35 Setup + $225/month
250MB Standard Miva Merchant Unix Virtual Server ($50 Setup + $85/month
600MB Deluxe Miva Merchant Unix Virtual Server ($50 Setup + $125/month
1200MB Royal Deluxe Miva Merchant Unix Virtual Server ($50 Setup + $275/month
700MB Deluxe Solaris Virtual Server ($50 Setup + $150/month
1400MB Royal Deluxe Solaris Virtual Server ($50 Setup + $325/month
Dedicated BSD UNIX Server ($750 Setup + $1400/Month)

*Which server is best for you? Find out by checking the comparison page.
Additional Disk Space required (25MB Increments). Cost is $0.30/MB/month.
Yes! I want SSL Compatible Encryption Support for my Virtual Server for $5/Month with $50 setup. ALREADY INCLUDED IN MERCHANT SERVER PRICING.
Yes! I want ColdFusion for my Solaris Virtual Server for an additional $20/Month. Only available on the Deluxe and Royal Deluxe Solaris Virtual Servers.

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 Server (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 Server resellers. These discounts can range from 5 to 30 percent! If you are a Server OEM and are reselling this Server, or if you are interested in becoming a Server OEM, select the toggle box below.

I am reselling this virtual server to a client.

Section 2:

RESELLER INFORMATION

Reseller ID:

Reseller Organization Name:

Reseller Address:

City:

Country:
United States - State:
Other - Province: Country:
Postal Code:

Reseller Contact:

Phone Numbers:

Net Mailbox:

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

Send all billing information to the reseller

Section 3

BILLING AND CONFIRMATION

If you have any questions in regard to billing, please refer to our billing information.

Use High Security SSL Encryption to submit your order!

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):


Credit Card Owner:

Expiration Date: (mm/yy)

Owner's Street Address:

Owner's City, State, Zip

Pay setup fee using other methods (please specify):

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A Little Technology Shoppe, LLC requires that each Virtual Server User abide by the following:

(1) The virtual server shall not be used to store or disseminate obscene or pornographic material.

(2) The virtual server 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 server 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 Server 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 Server Service Contract.

Yes, I have read the terms set forth by A Little Technology Shoppe, LLC,
and agree to abide by them.

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