BORTZ AND ROSENBAUM COMPUTER, INC.
Our site is under construction, please be patient.

---

WEB HOSTING FORM

All Fees are due every month.(Unless hosting is paid yearly)

By signing up with our service you agree to the terms provided in our Acceptable Use and Privacy Policies

E-mail address*			Domain Name*
First*			Last*
Address*			City*
State/area*			Zip Code*
Country*
Daytime Telephone*
Evening Telephone			Fax

Choose one plan
25 MB plan	$20.00 per month	$140.00 per year
50 MB plan / no cart	$35.00 per month	$360.00 per year
50 MB plan & cart	$40.00 per month	$425.00 per year
100 MB plan	$60.00 per month	$600.00 per year
Your total is:

© 2002 All Rights Reserved
	Home		Terms		Privacy Policy