Web Page Hosting Subscription Form This account cannot be used for any BULK MAILING or Unsolicited Email. Either Directly or Indirectly!!
Please fill in all information below. Accounts will not be entered without a full name, valid phone number, etc.. E-Mail Xpress will not start accounts with offensive addresses and account names and reserves the right to do so. We do not host adult oriented sites. Please Allow 1 working day for activation.
You will recieve confirmation and setup directions when your account is activated. It will be emailed to the e-mail address you provided above.
	Subscriber
	E-Mail Address	To notify you when account is set up.
	Name
	Address
	City
	State
	Zip Code
	Country
	Phone
	Work
	Work Fax
Your domain information and hosting options
	Select from one of our packages. We can build custom packages for thoes who have greater needs.	20MB Disk Space, 300mb Traffic, $66.00/year ($5.50/Month) 20MB Disk Space, 500mb Traffic, CGI, $90.00/year ($7.50/Month) 100MB Disk Space, 1000mb Traffic, $162.00/year ($13.50/Month) 100MB Disk Space, 1200mb Traffic, CGI, $186.00/year ($15.50/Month) All packages come with 1 20mb pop3 email box and an email catchall that will accept anything@yourdomain.com and route it to the mail box you specify. All email is filter for SPAM and virus. Web Site Statistics are also included.
	Your Domain Name:
	POP3 Email Account Name:
	FTP Username:
	FTP Password:	(At least 6 Characters Min!)
	Catchall Forwarding Address	Email address where Catchall email should be forwarded to, can be the pop3 email box above or an external mail box.
	Comments or Special Instructions (is E-mail xpress hositng the DNS, Where did you register the domain, do you want front page extensions etc..):
	Where did you find us?:
	You will be billed via e-mail. We accept Checks, Money Orders, VISA, MASTER CARD, DISCOVER, AMERICAN EXPRESS, and cash.