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Service Plan:

Bulletin Board Forum (Plus $20/Month)

Your Website Name:

(Example: www.abc.com)

Note:

You should create a CName of DNS record (ex. www.youdomain.com) pointing to www.webonlinemanage.com and MX record (for email domain) to mail.webonlinemanage.com. If you do not know how to do that, please provide domain name information to us, our technician will help you to implement.

Your Name:

E-Mail:

(Current active E-Mail)

Phone Number:

Fax Number:

(Optional)

Company Name:

Company Address:

City:

State/Province:

Zip/Postal:

Country/Region:

Credit Card Billing Address:

City:

State/Province:

Zip/Postal:

Country/Region:

Name on Card:

Credit Card Type:

Credit Card Number:

Expiration Date:

Card Verification No.:

(Visa, MasterCard, Discover & American Express only. Help)

Password:

(for admin account)

Confirm Password:

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