EVERY1HOST Application

Full Name:
Phone Number:
(including area code)
Email Address:
Referred by
(the number of the customer that referred you):
Domain Name:
Type of Website
(ie. Fish/cars/wedding/family/):

Click on the items you wish to have set up:

HTML 1.1     PHP     MySQL     Perl

Type of payment:  MO   Check   Paypal   fuzzydog@whiteshepherd.net)

Initial Page Set Up/Page Changes: $10.00 per page

Page Creation: $25 and up

Web Hosting: per month (with year subscription) $8.99

$9.99 (month to month)

*NOTE: Ohio residents please add 7% sales tax.

Save money now with EVERY1HOST Rad Referral Program!

For EACH customer you refer to us you get 50 cents deducted from your bill each month they are a customer.

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