Billing and Site Information for 
WebAJM.Com
(complete all information below for speedy account activation, missing data will result in delays)
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Please provide the following contact information:

First Name
Last Name
Address
City
State
Zip
Home Phone (555-555-5555)
Current E-mail (to send password and verification)
Current Web Page 

Preferred password: 

Password ( 6 digit minimum, no special characters)
Confirm Password

What billing cycle do you prefer?


How did you hear about us?

Referred by:


If you currently DO NOT have a Domain Name registered with a web authority do you have a preferred site name?     (WWW.WebAJM.Com/Franks)


If you currently DO have a domain name what is it?  (WWW.WebAJM.Com)


Do you want WebAJM.Com to contact your Domain Name registrar to transfer your domain Name to WebAJM.Com?



That's all the information we need to get your account started. We will contact you with your new site name and for information about redirecting your Domain Name if requested.

Welcome Aboard to WebAJM.Com!

 

Copyright ©2001 [WebAJM.Com]. All rights reserved.
Revised: August 29, 2002
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Last Modified: May 27, 2003