Website Hosting Services Signup - Nexus Internet Services

In order to set up your account, please complete the following:

Personal Information
Company Name (if applicable)
Your Name:
Address:
(continue address if required)
City:
Province/State:
Postal/Zip Code:
Country:
Phone Number:
Fax Number (optional):
An External Email address
(located other than this domain)
Domain name to host with Nexus
Domain Password	Passwords should consist of at least 1 numeric key, one upper case key, and one lower case key and be no less than 8 characters in length..
	Transfer Domain from other host New Domain (Nexus will register for you for a 2 year term. Registration Charges will apply.
If you have a special offer code, enter it here^*	Using your special offer negates any discounting for 6 or 12 month prepayment. Your discount will be calculated on the next page.
Additional Comments:

	Plan Type	Setup Fee^*	Payment Term
	Linux Silver Package ^{25MB Disk allocation, 5,000MB monthly bandwidth}	$0.00

Do you wish to transfer your own domain?

No, Let Nexus arrange the transfer
Yes, I will transfer the DNS pointers to the name you specify

Account Add-ons
	Monthly Pre-purchase of GB of extra bandwidth at $8.00/GB
	Monthly Pre-purchase of MB of extra disk space at $1.00/MB
	Monthly Pre-purchase of 250MB block(s) of extra disk space at $30.00/250MB
	Personal DNS Servers : $30.00 setup, $30.00/month
	Enable DNS Wildcarding - $37.50 one time setup
	Park domain against subdirectory - $37.50 setup, $7.50 per month Domain name Directory to park against
Please type your full name and email address into the supplied text field. By doing so and submitting this form to Nexus Internet Services you are agreeing to the terms, conditions and acceptable use policy set forth by Nexus Internet Services. Canadian Law provides for the equivalency of Electronic signatures to their handwritten counterparts. As such, submission of this form creates a binding agreement, wherein you agree to be responsible for all fees associated with the provisions of the service.

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Payment Method:

Credit Card / INTERAC Online

Cheque

All prices are indicated in Canadian dollars

As a spam blocking initiative, you must correctly complete the requested phrase to submit your request.

Clicking on the "Process Signup" button indicates that you have read and accepted the Terms and Conditions of Nexus Internet Services.

Nexus Internet Services proudly offers a 30 day money back guarantee - If you are not completely satisfied with your hosting we will cheerfully refund your hosting costs (excluding setup fees) within the first 30 days of your service. Offer Applies to first time customers only.

Thank-you for choosing Nexus Internet Services.