Hosting Order Form

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Hosting Order Form

About You:
Account Type:
Domain name:
Is this:	A new domain (not yet registered) ? An existing domain ?
Would you like XT Internet to register this domain for you?	Yes No
Do you want the FrontPage Server Extensions installed?	Yes No
Your First Name:
Your Last Name:
Organization Name (if any):
Current Email Address:
Street Address:
City:
State:
Postcode:
Country:
Telephone Number:
Comments:

By submitting this order, I confirm that I have read the Terms and Conditions and agree to be bound by the Terms and Conditions expressed therein. I accept that these Terms and Conditions may be updated at any time and that any such changes will apply to my account as soon as they are posted on the XT Internet site.

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