Secure order form

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Order Form - Please fill in all fields.
By submitting this order form, you have electronically signed a contract with Tone Dog, Inc.
Please double check your entries. Tone Dog, Inc. is not responsible for typographical errors.
We request quarterly payments. Please expect your charge to be 3 months at a time. If this is not
acceptable, please specify so in the comment box.
If you are making a payment, specify the amount in the comment box.

Name:
E-Mail:
Company:
Card Billing Address:
Card Billing City, State, Zip:	,
Phone:
	(Enter your Domain name: ie. http://yourdomain.com)
Domain Name:

A password will be assigned to you automatically. You may change it in your control panel if you wish. We recommend you use something difficult to crack.

WebStart - 14.95 per month
WebValue - 17.95 per month
WebPlus - 19.95 per month
WebPro - 29.95 per month
WebPro with osCommerce - 44.95 per month
Making a payment (if so, how much) $

All new hosting accounts are billed on a quarterly basis. .

Select Domain Name Action:
New Domain name registration $14.95 a year and is non refundable. Double check your spelling!
Transfer of an existing Domain name ($25.00). Please read the transfer process before ordering.
I have an existing domain name and I do not want to transfer it.
We also host international domains.

Click here if you will be using Front Page to design your website (no extra charge)

Read and Agree to Policy

Comments:
Payment Type:	MasterCard Visa Discover Check/Money Order in U.S. Funds
Credit Card number:	Exp. Date (mo/year) CVV (3 digit code on back of card)

If your credit card billing info is different from information completed above- Enter billing name on credit card, billing address, city, state, zip, and place this information in the comments box. If you elect to pay by check, please fill out this form, print it and mail along with your payment to:
Tone Dog, Inc.
PO Box 124
Cashmere, WA 98815
(509) 782-2210
Your credit card statement will reflect a charge from Tone Dog Media
This is NOT an automated validation form. Your credit card number is always handled manually for safety.

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