Welcome to our WebAD Wizard™ Secure Subscription Order Form!
Placing your order is simple, fast and secure!

The preferred payment method is credit card. To use a check or money order, you must pay quarterly instead of monthly. Submit this form for all orders.

Upon receiving your order, we will reply with an email confirmation including a link to our Payment Authorization Form, which you will need to print, complete and fax or mail back.

Orders are usually processed the same night we receive your faxed authorization form.

Special Save $20 Per Month!!
Get the $39 Subscription for $19 per month.
Get the $49 Subscription for $29 per month.
Just choose a package and then mention the $20 Off Special
in the COMMENTS at the bottom of this form.

Pre-order Question? Email or call us at 239-541-0065
     
Select a Package:
  
Select Billing Terms:
  
     
 
     
We can transfer your current domain name, register a new one, or you can use one of ours
     
Use Your Own
Domain Name:
  
How to search for a domain name.
Register the above name and charge me
The above name is already registered. Transfer it for free.
I'll handle the transfer of the above name myself . View DNS
OR         
    
Use One of Our
Domain Names:
NA next to a domain means
it is not available.
 
Enter First Choice
Enter Second Choice
     
Customer Information
     
First Name:    
Last Name:  
Company Name:  
Address:  
   
City:  
State/Province:   Other:
Zip/Postal Code:  
Country:   Other:
Full Email Address:
Important. Check for accuracy 		  (Ex: name@provider.com)
Telephone:  
Fax:
 		 
     
Billing information: Complete only if different than above.
     
Name on Credit Card:  
Billing Address:  
     

Your IP address is being logged. Credit card fraud is a serious crime and will be reported.
     
Pay With:  
Credit Card Number:   (ie: 1234-1111-2222-3333)
Expiration Date:   /

Comments or Instructions:
(i.e. If we are transferring your domain, include any account login information we may need. Mention special pricing from ads.)

  
.
Where did you find us?
Specify Issue/Name:
   .
     
You must accept the terms of the agreement by typing AGREE to the left. We can
not process orders that do not say AGREE. Do not place order if you disagree.
Please review the above information for accuracy before submitting.

© Copyright 2006

 MAILING ADDRESS
 United Publishing Group    1616 W Cape Coral Pkwy PMB 232 Cape Coral FL, 33914
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