Please fill out the following order form completely.
Fields marked with a * are required.
Would you like us to register it for $25 per year?
Or will you handle the domain registration?
We will register your domain name and the fee
for one year of registration is only $25. This registration fee will be added to
the total amount due and is non-refundable.
Please pick a password for your domain registration management (6 - 10 letters or numbers):
Would you like us to initiate the nameserver modifications for you for free?
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 "Verify Order" button and then print the next screen and fax it to us at :
(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) or until we receive the money order. Returned checks will be charged a $25 fee.
accounts paid by check, whether online or sent in, must be paid
on a yearly basis.
Please note: your order will not be processed
until this check clears our bank (approx. 10 days)
IMPORTANT: For subsequent recurring payments, this account will automatically
be charged each year. You can, at any point, change your billing info should you need to.
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.
a service of Internet Magic
5111 York Court
Cape Coral, FL 33904