Services

order form



This form will allow you to sign up for Internet services. Simply fill out the form, select the services you are interested in, and hit the "submit" button. When we receive your info, someone will contact you to confirm your order, tie up any loose ends, arrange for payment, etc.

Note: For more information about the services below, please check out the links on our home page at http://www.twistedbits.net

Personal Information

Organization (if applicable)
Name
Address
E-mail
Phone
Fax

Services

Cost

Domain Hosting None - If you signed up for an e-mail plan, your e-mail address would be of the form you@twistedbits.net, and if you signed up for a web plan, your home page URL would be of the form http://www.twistedbits.net/~you
Subdomain - If you signed up for an e-mail plan, your e-mail address would be of the form you@yourdomain.twistedbits.net, and if you signed up for a web plan, your home page URL would be of the form http://yourdomain.twistedbits.net
Your own domain - If you signed up for an e-mail plan, your e-mail address would be of the form you@yourdomain.com, and if you signed up for a web plan, your home page URL would be of the form http://www.yourdomain.com
Parking - Select this option if you aren't interested in any e-mail or web services at this time, but would just like to park your domain with us so that nobody else will register it in the meantime. ($3/mo; $10/yr)

If you would like us to host a domain or subdomain, or park a domain, please enter it here:
$/mo
$/yr
Domain Name Registration If we will be hosting or parking your domain for you, would you like us to register it on your behalf? (Note; we do not charge a fee for this service, but you will need to pay the registrar for your domain name; we are merely collecting their fee from you and passing it on to them. See the Domain Registration page for more info.
$
Email Plan $/mo $/yr
Web Plan $/mo $/yr
Economy Plans $/mo $/yr

Your Account

Usercode Note: If you do not fill out this section its no big deal, a usercode will be generated for you. This section just allows you to indicate any preference you might have for a particular usercode. (The usercode is what you will use to log on to the system and/or download your e-mail.

Your usercode must be 8 characters or less, and should contain only numbers or letters. (However, the first character cannot be a number.) If you have a preference regarding your usercode, please indicate it below:
1st choice:
2nd choice:
3rd choice:
Password Please indicate what you would like your initial password to be:
Identity Verification If you forget your password, there is a web page form which you can fill out that will request us to reset it for you. However, in order for us to do so, you will need to answer a few simple questions on the form so we can be reasonably certain that you are the one requesting the password reset. The questions on that form are the same as the ones that appear below. If you get all the answers right, your password will be reset. Below is where you set the correct answers to the questions. Note: You are not required to answer all of the questions (some may not be relavant for you), but the more answers you provide, the less the chance someone will be able to guess your answers and cause your password to be reset (and thereby gain access to your account).
Your mother's maiden name:
Your favorite color:
Your favorite sports team:
Your favorite TV show:
Your pet's name:
The last 4 digits of your social security #:
The last 4 digits of your credit card #:
Referral Were you referred to us by someone?
If yes, then by whom?
If not, how did you find us?
Web Logs If we are hosting a web page for you, would you like a web log analysis to be generated automatically? (This shows you what users are looking at on your page, where they are coming from, what search engine terms led them to your site, etc.) The reason we ask is because it will take up some of your disk space. It won't be a whole lot - but it could get up to 1-2 MB for a busy site. You can also have us enable or disable the analyzer at any time in the future.
Yes
No
 
Other You can use the space below to provide any additional information you feel is necessary but not provided for on this form, or to ask questions, etc.
 
Total
The total cost of the services you selected above are as follows:
If paying by the month, your payment would be: $ per month
If paying by the year, your payment would be: $ per year
The amount of your first payment is shown at the right. Note: If we are registering your domain for you, that payment includes 1and1's first year registration fee of $6.99.

How would you prefer to pay for this service?
First month:
$
First year:
$