Panaserve

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Hosting Plan *

STARTER SITE	$14.50 / Month
BASIC SITE	$24.50 / Month
ADVANCED SITE	$38.50 / Month

Account Holder Info

First *
Last *
Company Name
Address
Address
City
State
Zip
Phone *
Fax
E-Mail

Domain Info

Primary Domain Name:
I already own this domain.
I would like Panaserve to register this domain for me. (1)
Additional domains names I would like associated with this hosting account (2):

E-Mail

E-Mail Addresses Desired (3):

Terms & Invoicing


Panaserve will send out a quarterly invoice for an amount equal to three (3) months of services at the rate associated with your chosen hosting plan. You may cancel your service at any time without penalty.

I have read and agree to the Terms of Service for web hosting accounts.*

Form Help

* = required fields

(1) = Panaserve will contact you directly to confirm the account holder information you wish have assoicated with your domain name. A valid MasterCard or Visa card is required for Panaserve to register domain names for you.

(2) = If you own, or would like to register, additional domain names that will forward to your primary domain URL, list them here.

(3) = Use this space to list any initial E-Mail addresses you would like configured. You may add E-Mail addresses later on, as well.

For assistance dial:
612.333.1216

If you would prefer us to call you, fill out your name and phone number, and click Request Callback:

Name

Phone

CALL PANASERVE 612-333-1216