BIS Order Form: Option 1....Shared Server Space...$4.99/month with a One Time Setup Fee of $29...6 month minimum purchase

No Setup Fee for Orders Before 5-1-98

Company Name:

First Name: Last Name:

Address:

Address2:

City: State: Zip: Country:

Telephone: Fax:

E-mail:

Choose Host Domain: Click Here to Review the Server Options

www.djcafe.com/your_name
www.mobile-dj.com/your_name
www.odja.com/your_name
www.icu-online.com/your_name
www.ReadingPa.net/your_name

Choose Your Domain Name Extension:

Ex. www.odja.com/SuperDjService

Billing: Berks Internet Servers is proud to use Electronic Invoicing for all invoice distribution. This allows us to continue our tradition of providing low cost, affordable virtual servers. All server setup fees will be billed immediately. Monthly invoices for recurring charges are billed on a monthly basis. Bills go out the first of the month. Payment is due by the 15th of the month. Servers will be deactivated/cancelled if no payment is recieved. All new servers will be voiced validated prior to activation.

This Option is billed Semi-Annually.
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Reseller/Referral Number
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