EdgeWorld Hosting Order Form
Name (first, last):__________________________________________________________
Postal Code:__________________ Country (if other than U.S.):____________________
How did you find us? ______________________________________________________
Account Status (check one):
[  ] I want to transfer an existing virtual domain to EdgeWorld.
Your Domain Name:
A Login ID and Password are required when you connect to the EdgeWorld server in order to upload/download files to your site.
User Login ID:_____________________ Password:_____________________
Service Plan (check one):
[  ] ECONOMY at $9.95 monthly; $10.00 initial setup fee
[  ] BUSINESS STARTER at $19.95 monthly; $25.00 initial setup fee
[  ] BUSINESS PRO at $39.95 monthly; $35.00 initial setup fee
Number of Months: ________
Payment of initial setup fee and first month of hosting is due upfront. Contracts of 6 months or more receive a discount of $10.00 off the setup fee but you must pay for 6 months of hosting upfront.
[  ] Money Order
For Credit Card orders, please use the Online Ordering page.