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Contact Information
 
© November 2017

Please fill out the information below to sign up for Hosting from Frogsmart.com.

Contact Information

First Name:

Last Name:

Company Name:

Address:
Address:
City:
State / Province:
ZIP / Postal Code:
Country:

Email address:

Telephone Number:

When is the best time to
reach you at this number:

Do you prefer we contact you by:

Phone
Email
(We prefer to discuss your options by phone and
do not mind making international phone calls.)

 

Account Information

Package:

User name:
(At least 6 characters and not a person's name)

Recipient's Name (if this is a gift):

Domain Registration:

New Domain (Included in Setup Fee)
Transfer Existing Domain
Domain Name:
  .net 
  .biz 
.com 
  .org 
  Other
If you want to transfer a domain name other than .com, .net, .biz, or .org, enter the full domain name with extension in the box above and check Other.

Note: We only sell .com, .net, .org, .biz, and .info domain names with packages other than our custom hosting.

 

Payment Information

Please choose the term for which you wish to pay.
 PeriodDiscount
1 Month None
6 Months 5%
1 Year 10%

Note: Discount only applies to packages with monthly prices.

 

Comments

Please list here any comments or special requests such as additional domains or services you would like included with your account.

Please be sure you have read and agreed to our Terms and Conditions.

*An additional one-time setup fee of $18.95 will apply to all plans except E-Commerce and Business-Enhanced, which have a $24.95 setup fee, and the Penny Pincher, which has a $14.95 setup fee. All plans come with hosting for one domain name. The Multi-Domain package includes hosting for three domain names.