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New Account Registration Form
This is required information for all new clients
This is a secure form, encrypted for your protection.

Please choose one of the following. This is a ...

New Domain Registration
I have not yet registered my domain name and would like to do so through GorillaHost.com FREE for the first year. After completing this form you will see instructions for registering your domain.
Domain Transfer
My domain is currently hosted with another company. I have already registered it and simply need you to transfer it to your servers.

  Domain Name:
Important: Please be sure to include the extension, i.e. .com, .net or .org

Name (First & Last):
Company Name:
Street Address:
Address (cont):
City:

State/Province:


Zip Code:
Country:

Home Phone:
Work Phone:
Fax Number:
Email:

(We will use this email for sending your login information and billing. It is VERY important that you notify us if your email address changes.)

Account Setup Information:

Username:

Please indicate the username that you would like associated with your new server (lowercase letters and numerals only). This will be used for FTP access, site management and will also have an email account automatically assigned to it. Your username must be at least 3 characters, but no more than 8.

Password:
Please choose a password for your account. Your password must be at least 3 characters, but no more than 8 (lowercase letters and numerals only).

Microsoft Front Page Extensions:
If you are a Front Page 98/2000 user we will need to install Front Page extensions on your server. Simply let us know if you need these extensions installed. Of course, if you are not a Front Page user, you do not need or want these extensions installed.

Yes, I use Front Page    No, I don't use Front Page.

 

Terms of Service (TOS):
Have you read and understood our Terms Of Service? If not, you can find them here. Be advised that we will not process any new account without your acceptance of these terms. 
   
  
Yes, I have read it and accept the terms of this service.
   No, I haven't read it and don't agree with the terms of this service.


Payment Information:

How often would you like to be billed? From the drop-down box below, please select how often you would like to be billed. We bill every 6 months or once a year (annually). Keep in mind, you always have a 30-day introductory trial-period. If you decide to cancel during that time, we will refund your initial payment*

(required)

Please choose your method of payment below: Please read below for whichever method of payment best applies to you:

Credit Card (Visa/Master Card/Amex) (please check if applicable)

Card Type:


Card Number: (numbers only, no spaces please)

Expriation Date: (moyr)

Payment Information: All accounts are billed using the credit card indicated for the amount specified above. Keep in mind, you always have a 30-day introductory trial-period. If you decide not to stay past that time, we will refund your entire initial payment.* Note: The name Web Feat, Inc. will show up on your credit card billing statement.

Login Information: GorillaHost.com will setup and email your new server login information upon authorizing your credit card payment. Once your payment has been approved you will instantly receive a receipt via email. We guarantee your login information will be emailed within 24 hours of this time. In most cases, it will be within 3-4 hours. 

Future Billing: We will automatically debit your credit card each billing cycle. First you will receive a bill via email letting you know the amount due and that we will be making the debit. Then, you will receive a receipt via email for your payment. Nothing is required of you to automatically renew your account with us! Note: The name Web Feat, Inc. will show up on your credit card billing statement.

Check/Money Order (please check if applicable)

Payment Information: Please send your payment to the address below. Keep in mind, you always have a 30-day introductory trial-period. If you decide not to stay past that time, we will refund your entire initial payment.* Please make checks/money orders payable to Web Feat, Inc. (our parent company) and mail to:

Web Feat, Inc.
33 Appalachian Rise
Lexington, VA 24450

Login Information: We will setup and email your new server login information upon receipt of your payment. Once your payment has been received we will setup and email your new server login information.

Future Billing:
We will send you a bill via email each billing cycle. The bill will include a payment date and remind you where to send payment.

Comments?
Please let us know if you have any questions or comments about your new account.

*Please Note: Free domain registration is only available to GorillaHost customers. Should you decide to discontinue service during your first 30 days we will gladly refund your initial payment minus $35 for your domain name registration.


How did you find us?

It would be greatly appreciated if you could let us know. We are interested in finding out which advertisements are most effective for us.

If you are registering your domain through GorillaHost.com...

Please follow the instructions on the next page after submitting this Account Registration form.

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As always, if you have any questions or problems with this form be sure to contact us at: help@gorillahost.com