Hosting Sign-Up

Complete the form below to sign up for one of our monthly hosting plans. All plans are billed on a quarterly basis. Payment by credit card carries a 3% surcharge. For more information, read our Hosting Terms & Conditions.

Hosting Plan
Website*
Contact Name*
First Last
Company*
Email*
Phone*
Domain Registrar
This is where you purchased your domain/website name (examples: Go Daddy, Network Solutions). If you are unsure you can locate this information at whois.com
Registrar Username
Registrar Username/Password is needed to migrate any existing email or webhosting services from another location to NDIC
Registrar Password
Registrar Username/Password is needed to migrate any existing email or webhosting services from another location to NDIC
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Comments
If you are migrating an existing site from another host, please provide the control panel login for that host below so we can download your site's files:
Payment*
- Pay by ACH
- Pay by Credit Card (carries 3% surcharge)
Routing number*
Account number*
Name on account*
Account Type*
- Checking
- Savings
*
- I authorize New Directions In Computing, Inc. to automatically debit the account listed above on a quarterly basis. I agree to the Hosting Terms & Conditions
Credit Card Number*
Expiration Date*

MM/YY format
Card Security Code*
*
- I authorize New Directions In Computing, Inc. to automatically charge the account listed above on a quarterly basis. I agree to the Hosting Terms & Conditions
- I understand my choice to pay by credit card carries a 3% surcharge.
Hidden
Amount Due
Untitled
- Quarterly Billing
  Your current charges, prorated for the current quarter, are: $
  Your recurring quarterly charges will be: $
- Annual Billing
  Your current charges, prorated for the current year, are: $
  Your recurring yearly charges will be: $
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