Eideashop - Virtual Server Shared Web Hosting Solutions

Secure Order Form - Virtual Server Shared Hosting

Fill out the form below or call 1-866-WEB-IDEA to order. (Phones are answered from 9am-6pm)
Your information will be secured using 128 bit encryption.

Once your order is complete, you should receive a welcome letter with account and password information within 48 hours.

If you have any questions or concerns, please contact us.

* Required field

First Name*
Last Name*
E-mail*
Company
Address*
City*
State / Province*
Country*
Zip / Postal Code*
Telephone*
Fax
Domain Name*

Do you want Eideashop to register your domain (cost: $25.00/year)? If you choose "no" it is your responsibility to register your domain with another domain registrar.

Yes
No

If you answered "Yes" above, for how many years do you want to register the domain name?

* Pick your hosting package:

You may enter your preferred password or leave this box blank if you want us to randomly generate your password (cAsE sEnSiTiVe):

How did you hear about Eideashop?

* Preferred Billing Method:

* Billing Cycle: (If you prepay 12 months in advance you will receive a discount. )

Monthly
Quarterly (3 months prepaid)
Yearly (12 months prepaid)

Eideashop is secure. We use the industry standard secure socket layer protocol to protect the security of your online order information. SSL technology encrypts your order information to prevent it from being decoded by anyone other than Eideashop.

Credit card fraud is a felony. Eideashop will prosecute anyone attempting to misuse a credit card number. This transaction is being logged. If you have any questions please e-mail us at sales@eideashop.com.

Should you prefer not to enter your credit card information here, we will gladly call you to record your information.

Credit Card Type
Credit Card Number
Credit Card Expiration
Name On Card
Billing Phone Number

Billing Address (if different from above)

Additional Comments:

This is a binding document. By placing this order you are requesting service from Eideashop, and therefore do incur all fees associated with the provisions of said service.

* By ordering you AGREE to all items in the terms, conditions and acceptable use policy.

Once your order is complete, you should receive a welcome letter and account user ID and password information within 48 hours.

Eideashop Internet Development - Copyright 2004
Phone: 541-359-4160Toll Free: 1-866-WEB-IDEAFax: 775-599-6933

We value your feedback, comments and suggestions.