ORDER

To order your account, please fill in the whole of this form. If you have any questions, please contact our sales team.

Please submit one form per account requested.

Do not use this form for non-reseller orders - click here instead.

Service Information

Web Service	Resold Gold US$20.00 X 3 + US$0 Setup = US$ 60 Resold Silver US$6.00 X 3 + US$0 = US$ 18 Resold Mailbox US$2.00 X 3 + US$5 = US$ 11 Additional domain name pointing to same space - USD$ 30
Additional Options	5Mb additional disk space - USD$ 2 x 3 Months = US$ 6 10Mb additional disk space - USD$ 4 x 3 Months = US$ 12 15Mb additional disk space - USD$ 6 x 3 Months = US$ 18 None
Payment Options
Invoice me		This is the most convenient option - we will simply add the cost of the account to your next invoice. We reserve the right to require payment by another method if you are a new customer or have a poor invoice settlement record - we will e-mail you if this is the case.
Cash by mail		Anyone can use this option. You can send cash (US$ or Euros) by mail  to our office, for the amount stated above.
SWIFT Payment		Anyone can use this method. We will e-mail you our bank details so you can forward payment.
Personal Information
Customer ID:
		You can either just enter your customer ID (as on your last invoice) or you can enter your full information again. We will only bill to one address for all your resold accounts.
Contact Name:
Company Name:
Address Street, City, State and Postal Code:
Country
Daytime Telephone:
E-mail address:
		you must quote a valid e-mail address
Service Information
I would like to be hosted on your:	Washington DC Servers London, UK Servers
	Please install FrontPage Extensions on my account
		only check this box if you intend to use the extensions
Desired domain name:
		this box will be ignored if you are ordering a Silver account
Desired login name:
		You must choose a unique login name, therefore names like “webmaster”, “root”, “sales” etc are not permitted. (Silver customers will have a URL of http://www.jcle.net/yourlogin/) Login name has no great significance for Gold customers.
Password:
Password: (to confirm)
Any other information/comments:
We will e-mail you to confirm your order before setting up your accounts.			Yes No I agree with this terms and conditions
Click submit to send your order to us. You will then be returned to our sales pages. Thank you for choosing JCLE for your web hosting requirements