Reseller Sign Up

Areas in bold are required fields

First Name:

Last Name:

Company:

Address:

Email:

Telephone:

Please fill in your desired domain name.
We will register it for you and charge your account.
If you already have one, please fill it in.
Be sure to indicate the complete name (i.e. .com, .net)

Domain Name:

Do you need us to register your domain name?

Domain Registrar:

If Other Please Specify

By clicking on the submit button you will be directed to a secure server to process your credit card payment. Your card will be charged $20.00 for a one time set up fee. Or you can phone us at: (716) 864-4731 to place your order. By Fax: (716) 836-9649 Use your browsers print button to print the form and fax it to us.

We accept these major credit cards!

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For more information:
Your Dot-Com Solution
421 N. Ivyhurst Rd.
Amherst, NY 14226 US
(716) 864-4731
Fax: (716) 836-9649