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SECURE ONLINE ORDER FORM

Please use this form to place your order online via our secure server connection. All the information you provide on this page will be automatically encrypted by the system and transmitted via secure SSL channel.

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WARNING TO PERPETRATORS OF CREDIT CARD FRAUD:
Our Order Processing representatives will verify personal information and credit card validity for all new customers before processing the order.  This transaction will also automatically detect and include the unique Internet IP address provided by your dial-up service, ISP, company or college...

SelfNet™ Web Server Package
Quantity Price Description
$24.95 SelfNet™ Basic Server
includes 250 MB of Disk Space and 10 e-mail accounts
$49.95 SelfNet™ Standard Server
includes 500 MB of Disk Space and 20 e-mail accounts
$99.95 SelfNet™ Pro Server
includes 1000 MB of Disk Space and 30 e-mail accounts
$5.00 Storage Option
100 MB of Additional Web Server Disk Space
$5.00 E-mail Option
5 Additional E-mail POP3 accounts
 
Advanced Features and Upgrades
Quantity Price Description
FREE Active Server Pages (ASP) with ASPMail Support
available for all account types
FREE ASP.NET Framework with ASPMail Support
available for all account types
FREE DotNetNuke® Portal Hosting Option
available for all account types
$14.95 Secure SSL Server and PGP Security Option
available for all account types (requires ASP Support)
$19.95 MS SQL Server and Database Support
includes additional 100 MB of database storage space
 
SelfPostOffice™ Account (no web site)
Quantity Price Description
$9.95

Domain Name and E-Mail Services
includes 10 private POP3 E-mail boxes with unlimited aliases, auto responders, mail list support, calendar and user administration web interface. Domain name will be pointed to a generic Under Construction web page, or an IP address or website of your choice.
$5.00 E-mail Option
5 Additional E-mail POP3 accounts 
* Required information fields
* First Name:
* Last Name:
* E-mail:
* Domain Name:
  • If you do not have a domain name to use with your 
    web server and E-mail services, please click here to register your domain name online.
* Customer ID:
  • If you do not have an account with SelfNet or your
    Customer ID, please leave the Customer ID field blank and complete the rest of the form:
Company:
* Phone / Ext.: X
Fax:
* Address:
* City:
State:
* Postal Code:
Country:
* Credit Card:
* Card Number:
* Exp. Date: please use format:   "MMYY"
* Card Security Code: 3-4 digit code - please click here for help 
Please type any special instructions or comments in this box:
To submit your order now, click on the "Accept..." button below.
All the information you provided will be automatically encrypted
by the system and transmitted to SelfNet Order Processing.

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