WEB RESELLER'S REGISTRATION FORM

Internet WorkShop * IWork@iwhome.com
2921 S. Cottonwood Ln. * Tucson, AZ 85713
520-440-1420

Personal Information:
Contact name: Company:
Address:
City: State Zip:
Phone: FAX:
E-mail address:

Account Information:

(Primary username is for both FTP and Email. Additional usernames are for email only)
Primary Username: Password:
Forwarding: (if any):
Domain name requested:

(Check at Better-WhoIs.com)
Alternate Domain Choices:
Additional usernames for e-mail:
(Please provide passwords or forwarding information)

NEW: Resellers can now request unlimited tertiary domain names, of the form Keyword.Yourdomain.Com. (These names will be synonymous with your primary domain name.) E-mail gvelez@iwhome.com for details, or list requested names here:

Tertiary domain aliases:

Account includes 50Mb of space on a dedicated Web Server and 10 POP accounts, plus all other features of a virtual domain account. The URL will be of the form http://YourDomain.com Unlimited aliases of the form http://Keyword.YourDomain.com may be requested at no additional charge. Unlimited license is granted to add commercial home pages and subdirectories within this area. Additional domain names can be added at 1/2 of our retail prices (see below). All virtual domains include:

Setup CostPeriodic Cost Price Break
Reseller's Account $40/mo or $400/yr none
Additional Virtual
Domains 		$15/mo or $150/yrDecreases to $10/mo or $100/yr with 10 or more domains
BulkRegister Name Registration $20 per
domain 		Annual renewals none, but we can recommend do-it-yourself registrars that cost $12/year
All other services1/2 of retail 1/2 of retail varies

Please indicate setup or yearly fees for each account requested.



Total Amount Enclosed:
Date:
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How did you hear about us?

Internet WorkShop * IWork@iwhome.com
2921 S. Cottonwood Ln. * Tucson, AZ 85713
520-440-1420
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