This is the Order Form for All Linux Hosting Packages

Please complete the form below
All items marked * are mandatory
Please allow up to 24 hours for processing

Contact Details

FIRST NAME	*
LAST NAME	*
COMPANY
STREET ADDRESS	*
CITY	*
STATE/PROVINCE
POST/ZIP CODE	*
COUNTRY
PHONE	* Please include area code
FAX
E-MAIL ADDRESS	*
HOSTING PACKAGE

Account Requirements

DOMAIN NAME	*
PASSWORD	* Minimum 6 characters
RE-ENTER PASSWORD	*
Is this domain registered?	Yes No *

Payment Plan

PAYMENT PLAN PLEASE SELECT
PAYMENT METHOD

HOW DID YOU FIND US?

I have read and accept the XANADU NETWORK's Acceptable Use Policy

To keep our prices down we do not accept credit cards. Upon acceptance of this order we will
e-mail you an Invoice and we will have your service ready on the same day as the approval (provided domain name is registered, Domain Name registration can cause delays) and we trust you to mail or direct deposit the full invoice amount within 7 days from the date of our invoice. If you have any questions regarding payment please contact our accounts area.

Please press submit button to place your order