Sign Up Form

Search for a Domain Name
By HostedScripts.com

Our Account Contact: This would be the person that is paying for the hosting services and will be our contact for the domain name. This is not necessarily the person who will own the domain name. Domain registration information will be entered in the next few steps.
Company Name:
Contact Name:
Address:
Address 2:
City:
State:
Country:
Zip Code:
Phone Number:
Email Address:
How Did You Find Us:

This following is used only if you're signing up a second domain name to get the discounted charge. If you don't know your Customer Number, enter the first domain name you signed up with us. If this is your first domain with us, leave the Customer Number field blank.
Customer Number:
This is the Credit Card information that we will bill for all services. If you're registering this domain as a reseller, this must be your Credit Card information.
Billing Credit Card:
Name On Card:
Credit Card Type:
Credit Card Number:
Expiration Date:

Please provide login information you would like to use for this domain. Each domain you signup must have an unique username.
Account Access Login:
Username:
Password:
Domain Name:
Have you already registered this domain name?	yes no
If no, would you like for us to register your domain?	yes no
If no, would you like for us to register your domain?	If yes, ABasics.net will register your domain name for $35/year.

Domain Information:
Organization Contact: This is typically the company or person that owns the domain. If the domain is already registered and you're modifying it to our servers, this MUST match the current record EXACTLY. Any errors will only delay the processing of your domain.

Company Name or Personal Name:
Address:
Address 2:
City:
State:
Country:
Zip Code:


Administrative Contact: This is the person that is in charge of maintaining the domain name. This person will receive an email from the Registrar with the username and password to access your domain information to make modifications to nameservers and contact information.

Company Name:
Individual Last Name:
Individual First Name:
Address:
Address 2:
City:
State:
Country:
Zip Code:
Phone Number:
Email Address:

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