Please proceed through the order form steps below and feel free to call a ivisionhost
sales associate at any time if you require assistance with your order. Required fields have an *
3.Your Contact Information
*Name (first, last):
*Company Name:
*Address:
*City:
*State: *Zip:
*Country:
State (if other than the U. S. or Canada):
*Phone Number:
Fax: (optional)
*E-Mail:
If you provide a free email
address such as Yahoo or Hotmail, Your New Account will be rejected.
4.Your Billing Information
We do not
tolerate credit card fraud, which is a felony. If it is determined that an attempted order
is fraudulent, we will report all information to the FBI, at http://www.ifccfbi.gov
*Credit Card Type:
*Name on Card :
*Credit Card Number :
*Expiration Date :
/
*Security Code :
On the back of your credit card, there is a long series of numbers in the signature line.
Please enter the LAST 3 DIGITS of that number here. On some cards like those from American Express the number is four
digits and appears above and to the right of the credit card number embossed on the FRONT of the card.
*Issuing Bank :
*Bank Phone Number :
*Billing Phone Number :
*Address :
(if different from above)
5.Activate Site
Please type your full name
AND email address in the box below. By doing so and submitting this form to Ivision Host you are agreeing
to the terms, conditions and acceptable use policy previously set forth by Ivision Host. This is a
binding document. By placing this order you are requesting service from Ivision Host, and therefore
do incur all fees associated with the provisions of said service. If you are ordering a
UNIX-based account you will receive your account logins within 12hours of hitting submit
below.
