drewa designs // web hosting signup form

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To sign up for Drewa Designs web hosting and/or to register a domain name, please complete and submit the following form.

All information you enter below is considered to be confidential and will not be distributed to any third parties. If you have any concerns about the security of your personal information, please read our Privacy Policy. Asterisks (*) denote required fields.


Contact Information
First Name*
Last Name*
Company/Organization
Address*
City*
State*
ZIP Code*
Country*
Phone Number*
E-Mail Address*


Hosting Information
Hosting Service*
Domain Name Status* The domain name registration fee for a new domain name is $70. This covers the first two years. If you are transferring your domain name to Drewa Designs, or if you want a Third Level Domain, there are no extra fees.	Register New Domain Name Transfer Registered Domain Third Level Domain (yourname.drewadesigns.com)
Domain Name*	www.
Microsoft FrontPage Extensions* Will you be using FrontPage to access your files? Select No if you are unsure.	Yes No
Referrer Logs* This is now a free option.	Yes No


Payment Information
Payment Frequency* We’ll waive your setup fee when you select Yearly payment.