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MOL Web Site Online Order Form
Please enter the following information and complete as many fields as possible. 

Yes, this is a secure transaction.

Upon approval, your MassageOnline.net (MOL) web site will be added to the MOL site.   Please do not use common Massage terms as a web name as most have been reserved for use within our web site.  The best name to use would be your last name or first initial and last name (i.e.- smith, bsmith) or company / nickname (i.e.- healer, wizard, etc.).  Your web site address would then be  www.MassageOnline.net/healer with an email address of healer @ MassageOnline.net.
     

Items in red are required. 

Mouse over or click on  

Mouse over icon next to each item for more information.
 
Web Site Name: http://MassageOnline.net/ Name you are requesting www.MassageOnline.net/child_web_name. This will also be your email name child_web_name @ MassageOnline.net
Your Name:
Titles:
Telephone:
FAX:
Your Address:

Exactly as it appears on a mailing label; MUST include city, state and zip.
E-mail address: This is your current email address and this is where we can contact you until your pop3 account is activated. This is also the email address all your email will be forwarded to unless you get the optional POP3 email account below.
Site Title: Exactly as it appears on a mailing label; MUST include city, state and zip.
Keywords:

List up to 10 keywords here, (name, state, etc.) separated by comas. No need to list the child web name.
Short Description:

Short paragraph (up to 250 characters) here will be used when submitting your site to search engines.

Select Billing Option:

 One Year in advance @ $4.95 US per month = $59.40 Total

Two Years in advance; get two months free = $108.90 Total
Your web site comes with a forwarding email account.  This forwards all emails sent to web_site_name @ massageonline.net to the email address you have entered above.  Select the option below if you want a full POP3 email account instead of the forwarding account above.  See POP3 details >>

Optional POP3 Email:

 One Year in advance @ $4.95 US per month = $59.40 Total

Two Years in advance; get two months free = $108.90 Total

Card Information:

Yes, this is a secure transaction.  See details here >>
Name on card:  
Billing:  
Card number:   Leave out any spaces or dashes, just type numbers please.

Card Security Code:

We ask for security code in order to protect cardholders against misuse of their card. Click here for more details.
Expiration Date:         
Card Billing Address:

Exactly as it appears on your credit card bill; IF it is different than youraddress listed above; MUST include city, state and zip.

  
State:

Zip:

Additional Information:

This information will be part of the listing and will be placed on the site exactly the way you enter it here.

If you have additional information or photos in a file on your computer in plain text format, you may wish to email it to us rather than type it in here.  Send your information .  Make sure you always mention your web site name in the subject line of all communications you send to MassageOnline.net.  

Submit Child Web Order:

  I have reviewed the Web Site details / FAQs and hereby authorize TELEcomputers Services to charge my credit card and produce my MassageOnline.net Web Site with the information I have provided.  

                  

Return to www.MassageOnline.net

 

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