Additional Services Order Form [PDF version]
Please print out
and return by fax or US Mail with your signature.
Phone orders accepted if you have a Challenge Question on file.
SoVerNet
PO Box 495, Bellows Falls, VT 05101
Tel: (877) 877-2120 Fax: (802) 463-2110
Name: _____________________________________________________________________ Tel: ______________________
Address: ______________________________________________________________________ Fax: ___________________
City/State/Zip:_________________________________________________________________ Date of Birth: _____________
Username:__/__/__/__/__/__/__/__/__ Associated Domain: (A.)______________________________________________
ADDITIONAL SERVICES
General Services (monthly unless otherwise indicated) |
# units |
|
|
|
|||||
Email-only, 10MB |
___ |
@ $1.50 | = |
$___ | |||||
Personal Web account, w/10MB |
___ |
@ $3 | = |
$___ | |||||
Dial-Only** |
___ |
@ $12 | = |
$___ | |||||
Shell account, w/10MB |
1 |
@ $3 | = |
$___ | |||||
Shell email delivery (per email account) |
___ |
@ $1.50 | = |
$___ | |||||
Additional Login |
___ |
@ $10 | = |
$___ | |||||
Newsgroups |
1 |
@ $1.50 | = |
$___ | |||||
Remote Dial-In ($1/month min. when used, plus $0.11/minute) |
1 |
send separate sign-up | |||||||
| PHSA-Basic options: |
|
|
|
||||||
Dialup basic—unmetered local/roaming |
___ |
@ $10 | = |
$___ | |||||
Dialup Accelerator |
___ |
@ $2 | = |
$___ | |||||
Static IP |
___ |
|
= |
$___ | |||||
|
reason: ___________________________________________________________ |
|||||||||
Vacation Email Forwarding - Primary |
1 |
@ $2 | = |
$___ | |||||
- Email-Only |
___ |
@ $1 | = |
$___ | |||||
Monthly Paper Bill—Dialup accounts under $100 monthly |
___ |
@ $4 | = |
$___ | |||||
Dialup accounts over $100, no charge |
___ |
@ n/c | |||||||
Only-Email*** |
___ |
@$5 | = |
$___ | |||||
Domain Services* (monthly unless otherwise indicated) |
|||||||||
Email mapping (per domain) |
___ |
@ $1.50 | = |
$___ | |||||
Domain Hosting - Primary DNS (per domain) |
___ |
@ $1.50 | = |
$___ | |||||
- Secondary/Backup DNS (per domain) |
___ |
@ $1.50 | = |
$___ | |||||
Backup MX Hosting |
___ |
@ $1.50 | = |
$___ | |||||
Virtual Web Addressing options: |
|||||||||
VWA, 10MB space, basic/custom CGI, SSI; hosting not incl. |
___ |
@ $5 | = |
$___ | |||||
FrontPage Extensions (per VWA) |
___ |
@ $1.50 | = |
$___ | |||||
VWA—Full Pkg: above 2 items plus Primary Hosting |
___ |
@ $7 | = |
$___ | |||||
VWA, no space/features |
___ |
@ $2 | = |
$___ | |||||
Virt FTP—with 10MB space |
___ |
@ $5 | = |
$___ | |||||
- with no space |
___ |
@ $2 | = |
$___ | |||||
SQL—with 10MB space |
___ | @ $5 | = | $___ | |||||
- with no space |
___ | @ $2 | = | $___ | |||||
CGI-Bin Directory |
___ | @ $1.50 | = | $___ | |||||
SSL (per domain) |
___ |
@ $ 10 | = |
$___ | |||||
Secure Certificates - Thawte (annually, per domain); $150 setup ea. |
|||||||||
Standard Web $185 new/$145 renew |
setup: |
$___ |
fee: $__ | = |
$___ | ||||
SSL-123 $135 new/renew |
setup: |
$___ |
fee: $__ | = |
$___ | ||||
Super/SGC $415 new/$370 renew |
setup: |
$___ |
fee: $__ | = |
$___ | ||||
Web-only account**, w/10MB space |
___ |
@ $5 | = |
$___ | |||||
FTP-only account**, w/10MB space |
___ |
@ $5 | = |
$___ | |||||
ETRN |
___ |
@ $5 | = |
$___ | |||||
PGP (setup $100) |
setup: |
$___ |
$1.50/mo. | = |
$___ | ||||
Additional Server Space (* requires domain name) |
|||||||||
Units/Server |
Virt. Web* | Pers. Web | FTP/SQL* | Shell |
|
|
|
|
|
10 MB |
__ |
__ |
__ |
__ |
__ |
___ |
@ $5 | = |
$___ |
30 MB |
__ |
__ |
__ |
__ |
__ |
___ |
@ $10 | = |
$___ |
100 MB |
__ |
__ |
__ |
__ |
__ |
___ |
@ $30 | = |
$___ |
500 MB |
__ |
__ |
__ |
__ |
__ |
___ |
@ $60 | = |
$___ |
Totals—Setups | Annuals | additional Monthly: |
$___ | $___ (annuals) | $___ | ||||||
**Choose your WEB-ONLY, FTP-ONLY, or DIAL-ONLY username & password.
Usernames & passwords are case-sensitive; may include both numbers and
letters, with 8 characters or less; no spaces or punctuation.
First Choice: __/ __/ __/ __/ __/ __/ __/ __ Second
Choice: __/ __/ __/ __/ __/ __/ __/ __
Choose your password (can be changed later), same requirements as username: __/ __/ __/ __/ __/ __/ __/ __
***Only-Email account: Keep current username/password? Y __ N __
New: First Choice: __/ __/ __/ __/ __/ __/ __/ __ Second Choice: __/ __/ __/ __/ __/ __/ __/ __
New password: __/ __/ __/ __/ __/ __ / __/ __
*Please
indicate the registered domain name(s) that you’d like associated
with the above selected Domain Services, if other than the one at the
top of the form: B.________________________________________________
C. ______________________________________
D.
______________________________________________
(note:
use the letters A-D to indicate which options for which domains, if ordering
for multiples)
The monthly charges will be added to my regular monthly charges. Setups and annual fees will be paid by the method of payment on file. Charges are on the basis of this order, not actual usage. If I no longer wish to purchase Additional Services I must send a verifiable request (from my SoVerNet account or in writing with my signature), indicating which added service or services I wish to cancel, prior to my next billing date, and must also reduce the total usage to be in compliance with the standard limits provided for my account type.
I agree to have the above monthly fees added to my regular monthly charges. I understand that the above fees are eligible for any discount currently in effect for my primary account.
Signature:________________________________________________________________________ Date: _________________
SoVerNet, PO Box 495, Bellows Falls, VT
05101
Tel: (877) 877-2120 Fax: (802) 463-2110