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NetPublicist Secure Order Form

NetPublicist is a Christian owned and operated business who will serve any company, person, church, or ministry who provides a clean, meaningful web site to the Internet Community. We will not host Adult (Pornographic) Sites. Other restrictions may apply as per the Web Hosting Acceptable Use Policy and Terms and Conditions. By using our web hosting services, you agree to comply with our policies.

Silver Hosting Package: $29.95/month + $10 setup fee

Prorated: Sign up today and pay the $10 setup fee plus $3.00 for the remainder of the current month.

NOTE: By using this secure order form you agree to pay $13.00 today and to also pay the automatic recurring payments of $29.95 on the 1st day of every month using the credit card you specify below.

Fill in the form below to order. Your transaction will be confirmed by email.


BILLING INFORMATION
First Name: Last Name:
Address:
City: State: Zip:
Country:
Phone Number:
E-Mail Address:
Domain Name:

CREDIT CARD INFORMATION
Card Type: Card Number: Exp. Date:

For your protection, we require that you enter the "CVV" number from your credit card. The three-digit CVV code is printed on the signature panel on the back of the card immediately after the card's account number.

CVV Code:
CVV code is present on my card but illegible:

Submit this form ONCE ONLY. Your transaction should be completed in 10-60 seconds, depending on Internet traffic. In some cases, it may take longer.



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