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Feb 18, 2007

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Special Offer
Purchase any of our VDS packages, and get your second month free!

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Welcome to ArsHost!

Please completely fill in all necessary information. Incomplete forms will not be processed.

Hosting Plans

Gold Plan - $9.97/mo

Reseller Plan - $44.97/mo

Virtual Dedicated Servers

Bronze VDS - $25/mo

Silver VDS - $40/mo

Gold VDS - $50/mo

Platinum VDS - $75/mo

Account Setup

Domain Name

Does this name need to be registered yes no

Is this domain being transferred from another host yes no

Desired Username

Password

Server Information (for dedicated/virtual servers only)

Linux Distro Desired

Root Password

How do you want your space partitioned (optional)?

Contact Information

Name

Company

Address

City

State

Zip/Postal Code

Country

Phone

Fax

E-Mail Address

Payment Information

Payment Method *

Name of Account Holder

Account #

Exp. Date

Cardholders address (If different from contact information.)

Address

City

State

Zip / Postal Code

Country

Coupon Code

Comments

* If paying via PayPal, send payment to ArsHost at sales@arshost.com. In the notes section list the site(s) you are paying for. If paying via check/money order, include a note listing your site(s) you ordered.