Hosting Order Form

Hosting Plan

INTRO

STANDARD

ULTRA

CUSTOM

Hosting Details

This is a new hosting account.

I am transferring hosting from another provider.

Current hosting provider:

Would you like IgLou to transfer all content to us?

Yes

No, I will do it myself

Hosting login and password:

Email Details

I have email that needs to be transferred.

I need to set up new email accounts.

No emails are needed.

I have emails, but they are hosted elsewhere.

Choose all that apply

How would you like email routing configured for your domain(s)?

Domain Details

I need a domain registered

I have a domain registered

I have more than one domain

What domain name would you like registered?

Domain Name(s):

Registrar

Would you like to transfer domain registration to IgLou?

Yes

No

How many years would you like to register the domain?

1 year - $35

2 years - $50

3 years - $75

I am also interested in web design services.

Yes, please contact me about creating or editing my website

No

More about what website work you need.

Billing Information

Name *

First

Last *

Last

Email

Phone

Address *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Credit Card Information

I would like to save and prepay for the year.

Yes

No

Total

Let’s get started!

Billing Information

IgLou Web Design & Development

Hours: