Reseller Order Form


	HOSTING ORDER FORM

	RESELLER ENROLLMENT

	RESELLERS ORDER FORM

	UPDATE CREDIT CARD

	CONTACT US

Reseller Order Form
FrontServe is secure. This Order Form is EXCLUSIVELY for FrontServe Resellers/Customers who already have an EXISTING account with FrontServe.

Credit card fraud is a felony. FrontServe will prosecute anyone attempting to misuse a credit card number. This transaction is being logged. If you have any questions please email us at billing@frontserve.com.


Plan Name	NT Micro	NT Budget	NT Starter	NT Value
Monthly Price:	$8.00	$10.00	$12.00	$14.00
Startup Fee:	Free Startup	Free Startup	Free Startup	Free Startup

Plan Information
Domain Name:
Hosting Plan:
Billing Method:
Website Password:

Reseller Information
Main Domain:
Name:
Company:
Address:
City:
State:
Zip Code:
Country:
Phone Number:
	We will call this phone number to verify credit card information upon submission of new order.
Email:
Comments:

Payment Information
Card Type:
Credit Card Number:
Address on card:
Expiration Date :
Please type your full name in the box below. By doing so and submitting this form to FrontServe you are agreeing to the terms, conditions and acceptable use policy previously set forth by FrontServe. This is a binding document. By placing this order you are requesting service from FrontServe, and therefore do incur all fees associated with the provisions of said service. This document will not be "signed" in the sense of a traditional paper document. To verify the contents of this form, the signatory must enter any combination of alpha/numeric characters that has been specifically adopted to serve the function of the signature. I AGREE to all items in the Terms and Conditions Signature: Date:

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