All Inclusive Hosting Plan Registration

Thank you for considering our service and deciding to come aboard! Please fill out the form below to get started on your new All Inclusive Plan. Once this is completed, I will be in contact to get more information from you to get started. Your new website will be up and running in no time!

AIMP Online Form

The information below will be used for your account billing information. Your invoicing will go to the contact you enter in on this page.
How did you first hear about us?*
If you were referred to us by someone, would you mind telling us who?
Billing Contact Name*
First Last
Billing Contact Email*
Billing Address*
Street Address Address Line 2 City Province Postal Code
Billing Contact Phone*
Website Project Contact Name
Leave blank if you are the billing contact AND the website project contact. If you have someone who is handling the project, but is NOT the billing contact, please enter their name below.
First Last
Website Project Contact Email
If you have a website project person who is NOT also the billing contact, please enter their email address below.
Website Project Contact Phone
If you have a website project person who is NOT also the billing contact, please enter their phone number below.
Terms of Service Agreement*
Have you read the terms of service and do you now fully agree to be completely bound by all the terms of service?
(No service will be supplied if you do not agree to the terms.)
Signature*
By signing and completing this registration/agreement/contract form for AIMP service with Vernon Websites, the client/customer that has filled out this form agrees to all the terms of service, and also acknowledges the digital signature made on this online registration/agreement/contract form to be as strong and legally binding as a paper or physical “in person” or “real life” signature, thus completing and confirming a legal binding contract.
Signed On This Date (MM/DD/YYYY)*
Date Format: MM slash DD slash YYYY
Captcha
Please confirm below:
When you click submit below, the contact for the billing information will be added to our accounting software AND our client newsletter email list. This newsletter is ONLY used to email you when there is important news to tell our clients about their services. It is for our use only. In some cases, these news items may affect the way your service is provided, so its important you get them. This newsletter service will come from us via our MailChimp account.

This page is totally private and encrypted for your safety and peace of mind.
Comments
This field is for validation purposes and should be left unchanged.