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Domain Renewal Order Form

Please fill out the following order form completely.

Each year of renewal is $15

Fields marked with a * are required.

Customer Information
First Name*:
Last Name*:
Company Name:
Address*:
City*:
State/Province/etc.*:
ZIP/Postal Code*:
Country*:
Telephone*:
Fax:
Existing e-mail address*:

 

Domain Information
What domain name(s) do you wish to renew?*:
(separate multiple domain names with a comma)
Years to renew each domain name (each year is $15):
Web Forwarding
Web forwarding service

Click here for an explanation of our Web Forwarding service.
No Thanks
1 year of web forwarding service for $24.95
1 year of Deluxe web forwarding service for $34.95 (includes email and invisible url)
URL to forward domain to:

 

Payment Information
You may pay for your domain renewal by choosing one of 3 methods:

1. Online - Finish filling out this form and send it through our secure server by clicking on the submit buttons.

2. Fax - Finish filling out this form, click the "Preview Order" button and then print the next screen and fax it to us at :

               1-404-806-6979

3. Snail Mail - Finish filling out this form, click the "Preview Order" button and then print the next screen and mail it to us at the address below. If you wish to pay by check or money order, please include payment with the order.

 

Internet Magic

5111 York Court
Cape Coral, FL 33904

Payment Method*:

Credit Card (Please fill out the Credit Card Information section below)

I will mail a check or money order. ( Note: Your order will not be processed until your check clears our bank (approx. 10 days) or until we receive the money order. Returned checks will be charged a $25 fee. )

I am submitting an online check. Please fill out the Online Check Information section below. Note: Your order will not be processed until your check clears our bank (approx. 10 days). Returned checks will be charged a $25 fee.

Credit Card Information
Card Type:
Name on Credit Card:
Credit card number:
Expiration Date:
Billing Address of
Credit Card (if different
from above address)

The vendor shown on your credit card statement will be Internet Magic and the charge will be for the total shown on the next screen.
Online Check Information

Check

Name On Check:
Transit Routing Number:
Account Number:
Check number:

Please note: your order will not be processed until this check clears our bank (approx. 10 days)

Your check will be made out to Internet Magic for the total that will be displayed on the next screen

There is a $25 fee for returned checks.

 

General Information
Any comments or questions?
 



freewebhost.com
a service of Internet Magic
5111 York Court
Cape Coral, FL 33904
707-869-3389 phone
Contact Us