Order Your Site -- New Account Order Form

Account Order Form
To begin your new web site with NXWeb, please fill out the form below and then click
the "Submit Order" button.

First Name:
Last Name:
Company Name:
Address:
City
State, Zip Code
Phone, Fax:	- -
E-mail:

Service Plan Type:
Domain Name:
Domain Name Status:	New Domain Name (Searched and Proven available on previous page.) Transfer of Existing Domain Name
Special Requests or Information:

A confirmation email will be sent to you as well as
the service agreement for your plan.
Thank you for your business.


Copyright © 1998, NXWeb Corporation	info@nxweb.com