INYC

Please fill out this form to get setup with your INYC plan. Our server uses secure SSL encryption, so you can rest assured your information is safe and confidential.

All accounts are set-up within 24 hours. (For your protection, your payment information gets verified again after this form is submitted to us)

All services carry a 30 day money back guarantee excluding setup fees.

Please Call us with any questions you might have about your order.

Please enter the following information. indicates required information.

First Name:
Last Name:
Company:
Address:
Address:
City:
State / Province:
Zip / Postal Code:
Country:
Phone Number:
Fax Number:
Email Address:

Select a Plan:
Front Page Extensions:	Yes No

USER ID:

(Minimum Length Of 4 Characters)

Password:

(Minimum Length Of 4 Characters)

Confirm:

Full name:

Extra Disk Space:
Additional Email Accounts:
Search Engine Registration:	500+ search engines and directories ($20 one time fee)
WebTrends Statistics:	Yes No (Add $3/month)

Desired Domain Name:	www.
i.e., www.mycompany.com	New (INYC will register) Existing (I will transfer)
Credit Card Number:
INYC Accepts:
Credit Card Type:
Expiration Date:	Month (MM): Year (YY):
How did you hear about us:
Comments:
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