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Contact Information
Dedicated Server Order Form
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Subscription Information
Domain Type	Register a new domain Use existing domain registered elsewhere Transfer existing domain and renew 1 year at PacHosting

Domain Name	To be assigned by PacHosting. No. of Years:
Service Plan
Payment Cycle	6-Month1-Year2-Year
Value-Added Service	MySQL Database ($50/month) SiteBuilder ($30/month) No. of Mailbox: 10 x Web Hosting ($38/month) Additional IP Address ($150/month) No. of Accounts (BlackBerry):

Payment Method	Cheque Bank Deposit Credit Card PayPal Alipay China Debit Card
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	I have read and agree to the Terms and Conditions of Use. Yes

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