Capabilities Portfolio Client Extranet Products Who We Are Resources
 

SIGN UP NOW! The following information will be used to complete the processing of your order.

  Package Information
Web Hosting Package:

Add E-mail Accounts: 

(# of accounts to add @$2.00/month)
Add Disk Space: (# of 1 MB to add @$0.50/month)
Add To Internet Traffic Allowance: (# of 100 MB to add @$1.00/month)
Add Log Analysis Reports: Yes  No (NOW FREE)
Add Staging Server: Yes  No (1/2 of monthly hosting fee)
Register w/2000+ Search Engines: Yes  No ($149.95)
Add 10 Hours of Professional Web Site and Database Changes: Yes  No ($249.95/month)
Please Transfer our existing site to one of your hosting servers: Yes  No ($99.95)
Add SSL Yes  No ($9.95/month)
Add E-Commerce Package Yes  No ($149.95/month)
Please contact us about building or upgrading our site: Yes  No
 

Domain Name Information

Please check here if you would like MicroElements to register your domain name with Network Solutions for $150.00.  Note:  This price includes the $70.00 fee that Network Solutions charge for 2 year registration. 
Domain Name:

Organization Information
Organization Name:
If no Organization, please type in your name.
Contact First Name:
Contact Last Name:
Contact Phone:
Contact Fax:
Contact E-mail:
Address Line 1:
Address Line 2:
City:
State:
Postal Code:
Country:
 

Administrative Information

If your Administrative and Organization information are the same, check here and skip this section.
NIC Handle (optional):
Organization Name:
If no Organization, please type in your name.
Contact First Name:
Contact Last Name:
Contact Phone:
Contact Fax:
Contact E-mail:
Address Line 1:
Address Line 2:
City:
State:
Postal Code:
Country:

 


 
© 1999-2005 MicroElements Corporation | Phone: 440.268.9190 home  |  site map | contact us
Concentrating on Web Design, Development, Marketing and Hosting in the following cities: Cleveland, Columbus, Cincinnati, Ohio, Pittsburgh, New York, San Diego, San Francisco, Atlanta, Chicago, Seattle, Denver and more.