Web Hosting Order Form
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Please Pick One Of the Following Options:
Domain name Registered? Operating System:
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Are you using Microsoft FrontPage to author your pages?

Domain Name Information:
Domain Name:
.com .net .org
User ID: (3 Character Min. - No Special Characters i.e., @#$%)
(Your UserID is the basis for your mailbox ids)
(UserID changes are $30)
Password: (10 Character Min. - No Special Characters i.e., @#$%)
   (You can change your masterpassword later, if you wish, without charge)

Organization/Personal Information:
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Hostcentric Authorized Dealer : Shea Consulting

Once your order is submitted we will email you with confirmation that your application was received.

IMPORTANT: If You Do Not Receive A Confirmation By The End Of The Next Business Day, Please contact our hosting support, opal.thomas@hostcentric.com !

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Clients

For more information, contact:

Shea Consulting
P O Box 389
Hopkinton, MA 01748-0389

Tel: (508) 435-2046
Fax: (508) 435-2040

E-Mail: Shea Consulting

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