Use this form to order up to 5 Domain and 3 Dialup accounts.
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                   Domain Name
Windows 2000 Linux       Basic $7.95 Pro $19.95
Windows 2000 Linux       Basic $7.95 Pro $19.95
Windows 2000 Linux       Basic $7.95 Pro $19.95
Windows 2000 Linux       Basic $7.95 Pro $19.95
Windows 2000 Linux       Basic $7.95 Pro $19.95


Dialup #1    Regional (CA/NV/AZ) $9.95    National $10.95
Dialup #2    Regional (CA/NV/AZ) $9.95    National $10.95
Dialup #3    Regional (CA/NV/AZ) $9.95    National $10.95


Billing Option
Monthly Automatic Credit Card Billing
Yearly Automatic Credit Card Billing (10% discount)

Total Charges    USD

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