MacServe Signup Form

* Required Fields

Web Site Information

*Service Type:  
*Domain Name:
 New Domain    Existing Domain

MacServe.net will register your new domain for you and add the $20 registration fee to your bill.

Describe your site:

Billing Information

*Contact Name:
*Organization Name:
*Address 1:
Address 2:
*City: *State/Province:
*Postal Code: Country:

Card Number:
Card Type: Expiration Date: /
Promotional Code:

Account Setup

*User Name:  (ex. Steve Jobs) Used for AppleShare access.
*Internet Name:  (ex. sjobs) Used for your ftp user id and email id
*Password:  (8 character limit)
*Email Options:  Regular POP Account
 Forward Email to:

Other Services/Options

Optional Information

Where did you hear about us?:  
If a Current Customer or Friend referred you, please enter their name.
What type of computer do you have?:
What type of internet connection do you have?: