Grace Online - Hosting Order Form

Domain Hosting Order Form

Name of individual testifying to the statement of faith

Grace Online is a service of Enjoy The Bible Ministries to provide an opportunity for those of mutual faith to have a presence on the WWW Internet. This is a great way "to testify the gospel of the grace of God" to a worldwide audience 24 hours a day.

Since Grace Online is a "Central" location of users and visitors of 'like-faith' we ask that you read our statement of faith before subscribing to our services. Thank you for your cooperation.

Personal Information
Provide information concerning the organization below.

Organization Name

Address

City

State/Province

Zip/Postal Code

Country

Telephone

Fax

Email Address

Point of Contact
(The following information will not be published if different from above.)

Name

Telephone

Email Address

Hosting Option
Please Choose the option that you want to order.

	Option I	$90 per year [billed annually]
	Option IIa	$135 per year [billed annually]
	Option IIb	$210 per year [billed annually]
	In addition to our billing you will receive a bill from the InterNIC for the $35 registration fee of the Domain Name; if new. If you are transferring a site you will not receive a bill from the InterNIC.

Billing E-mail

If you wish for billing information to be sent to a different address, enter a valid e-mail address here. If you wish for all the information to be sent to the address stated above, you can leave this blank.

Billing E-Mail address:

Domain Name

www.

[other extension]

Is this a new domain?

NEW

MODIFY*

*This selection indicates that this domain already exists and you are transferring the name. You must be the authorized contact to initiated the transfer. If not, the correct person will have to respond to the email that the InterNIC will send before it can be pointed to the new servers.

IF A NEW DOMAIN: Please check the InterNIC to see if your name already exists.

IF AN EXISTING DOMAIN (modify): Please check the InterNIC to see you are the proper owner of the domain.

Payment

Pay by credit card

This page is not secure. If you want to pay by credit card and feel uncomfortable transmitting your information, please use our toll free number: 1.888.284.6215 (This is an unattended voice mail system. Be prepared to leave a message.)

Credit Card

Card Number

Expiration Date

Card Holder's Address
(if different from above):

Bill by e-mail

Your server will not be activated until the first payment is received. The first invoice will arrive to you via e-mail immediately. All invoices must be paid on time to avoid interruption of service.

Please Note: We can not register your domain name until the first payment is received.

Misc.

UserID: In order to access your Control Panel you will need a User ID. If you have a preference please tell us.
The userid must start with alpha characters and consist of alphanumeric characters, the minus sign '-' or underline '_'.
Other Instructions?
How did you hear about us?

By sending in this request, you are hereby agreeing to and are bound by our terms and conditions, agreeing with our statement of faith. We have the option to refuse an application to or terminate the account of those that we feel have or would violate those rules.

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