Basic Web Hosting Order

EMAIL HOSTING... (Payment is required in CDN $ via Credit Card)

CONTACT INFO...
Full Name:
Organization:
Address:

City:
Prov / State:		Postal Code / Zip:
Country:
Phone 1:		Mobile Phone:
Alt Phone:		Fax:
Email:

EMAIL ADDRESS...(details of the account you wish to set up)
Email Address:
Optional IMAP:	(keeps messages on our servers)

DOMAIN INFORMATION...
Domain Name:
Yes I would like to register the above domain name for $24 per year with Orion's Web Hosting. We will contact you to complete the order or please visit Our Domain Registration Order Page.

ACCOUNT OPTIONS...
Password: (min 5 chars)
Notes:
By clicking below you agree that you have read and accept theEmail Licencing Agreement (Terms of Service) and Acceptable Use Policy of Orion's Web Hosting Host and it's affiliates. Make sure you download the orionswebtoolbar so that you can be aware of server updates, maintenance and outages.

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