Order Form

Please fill out this form completely and click the Order Now button.  If you have any questions please call us at 410-256-6820 or E-mail us at: .

Note: Domain Names must be registered prior to purchasing a hosting option.  BER suggests using Network Solutions to register Domain Names.

* Please fill out all required fields
** Required for USA addresses, optional for non-USA

Where did you hear about us?*
Domain Name *
(non-com,net,org choose other, list domain in Special Instructions)
.
Plan Length* Annual (discounted) Quarterly
Please select a web hosting plan*
Special Instructions

Do You Need FrontPage Extensions? Yes No
   
 
Subscriber Information
First Name*
Last Name*
Company Name
Address*
City*
State/Province **
Zip Code/Postal Code **
Country **
Telephone Number*
Fax Number
E-mail Address*

 


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Acceptable Uses Policy & Service Agreement
(You may choose to print these agreements)

BER Hosting
PO Box 43308
Baltimore, MD 21236-0308

410-256-6820