First Name:
Last Name:
Organization:
E-mail:
Phone:
Fax:
Street Address 1:
Street Address 2:
Apartment#:
City:
State/Province:
Zip/Postal Code:
Country:

PLEASE DO NOT FORGET YOUR DOMAIN NAME or CHOICE OF DOMAIN NAME if you have purchased our hosting services. Please check for the availability of your domain name before ordering please.

Existing Domain:
Domain Name Choice:

I AGREE TO COMPLY WITH THE TERMS OF SERVICE AGREEMENT AND AGREE TO COMPLY WITH THE ACCEPTABLE POLICES OFONEPRICETHATSALL . THEREFORE I REQUEST THAT YOU INITIATE MY CONTRACT WITH ONEPRICETHATSALL

AGREE: I AM AT LEAST 18 YEARS OF AGE:

I ALSO UNDERSTAND THAT THE SEARCH ENGINE WORK IS PAYABLE BY VISA/MASTERCARD/AMERICAN EXPRESS/MONEY ORDER or ACH OR ACH. WHEN PAYING BY CREDIT CARD, I AUTHORIZE ONEPRICETHATSALL TO CHARGE MY CREDIT CARD AMOUNT FOR SERVICES THAT I HAVE ACCURED MONTH TO MONTH. WHEN PAYING BY MONEY ORDER, I UNDERSTAND THAT PAYMENT IS DUE ON THE SIGN-UP DAY OF EACH MONTH, IF PAYMENT IS NOT RECEIVED BY THE SIGN-UP DAY OF THE NEXT MONTH, MY ACCOUNT IS SUBJECT TO CANCELLATION AT THE END OF THE PAYMENT PERIOD. ALSO WHEN PAYING BY CHECK, MY FIRST PAYMENT WILL BE FOR THE FIRST AND LAST MONTH OF SERVICE. CANCELLATION OF THIS AUTHORIZATION MUST BE APPROVED IN WRITING 30 DAYS PRIOR TO THE CANCELLATION DATE. ONEPRICETHATSALL RESERVES THE RIGHT TO CHANGE ITS PRICES, AND WILL BE PROVIDED AT LEAST 15 DAYS WRITTEN OR E-MAIL NOTIFICATION OF ANY SUCH CHARGES.

IMPORTANT: Your card name and address MUST match the address on your credit card billing statement. Please check on the left of the form to ensure the information entered is correct. Visa	Credit Card Number Expiration Date: MM/YY
MasterCard
American Express
Discover
Money Order

BE SURE TO INDICATE HERE THE PRICE QUOTED:

Questions, Comments, Special Requirements? Please use the textbox below.

Online Order Security Disclaimer

When you place an order online, your personal details and credit card information are scrambled using industry-standard SSL (Secure Sockets Layer) encryption technology before being sent over the Internet. Although we cannot guarantee encryption or the privacy of your personal details and credit card information, SSL makes it very difficult for your information to be stolen or intercepted while being transferred. Our Credit Card transactions are maintained by a company called Cardservices International. All information sent to Cardservices International is encrypted, which will protect it against disclosure to third parties. When we receive your order, it is kept encrypted until they're ready to process it. For further information about privacy Cardservice International security practices, please go http://www.cardservice.com

SECURE ORDER FORM FOR ONEPRICETHATSALL SERVICES