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Please note: This form is for information required to setup your CUSTOMER'S account, not yours!

Package:

Virtual Host ($9.99 setup fee $3.00 - $2.00/mo.)

Resold Professional Plus Account ($9.99 setup fee $11.99 - $7.99/mo.)

Reseller Information:

Reseller's Domain

Reseller's Name

Reseller's E-mail

Reseller's Phone (including area code)

 

New Account Information:

Domain

Do you need Microsoft FrontPage Extensions for this account? Yes No

Do you need a Secure Server directory for this account? Yes No

Do you need a dedicated IP for this account ($1.50/mo) Yes No

Added Comments:

Resellers must register their customers domain names with a registrant themselves. To do this you may need to provide the following DNS server information:

Primary DNS Server:
ns0.millcityweb.net
208.155.102.129

Secondary DNS Server:
ns1.millcityweb.net
208.155.102.130


By clicking on the "Submit" button and sending in the above form for service, the account holder agrees to all terms outlined in the "Reseller Terms of Service" section and will abide by those terms.