PageManager.Com
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Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: webmaster@pagemanager.com.
PAGEMANAGER DOES NOT HOST ADULT ORIENTED SITES

Where Did You Hear About Us?:

Client Website
Search Engines
PageManager Customer
Web Developer/Designer
Other 
Referral 
Domain Name: Check Domain Name
NOTE: We will bill you $70 SEPARATELY to cover your domain name for two (2) years.
Be sure to pay this or you WILL lose your domain name!

Customer Information
Name: 
Company Name: 
Type of Business: 
Address: 
City: 
State/Province: 
Country: 
Zip/Postal Code: 
Daytime Phone: 
Home Phone: 
FAX: 
Email: 
Billing Address(if not the same)
Billing Name: 
Billing Address: 
Billing City: 
Billing State: 
Billing Country: 
Billing Zip: 
Billing Email: 

 

Web Hosting Option
Basic Site $14.00/month Set-up $15.00 Total Due $57.00
Economy Domain $25.00/month Set up $20.00 Total Due $95.00
Small Business Account $40.00/month Set up $39.00 Total Due $79.00
E-Store Site $50.00/month Set up $49.00 Total Due $99.00
Directory Name Desired:(Non-Domain Accounts only) 
ie. http://www.pagemanager.com/yourcompanyname
Personal Web Sites and Economy Domains are contracted for a minimum 3 month period. First Payment is for Setup and 3 months Rental. These accounts are billed quarterly, semi-annually or annually.
 

Payment Method Mastercard
Visa
Check/Money Order (PageManager.Com will set up your account upon receipt of your check)
Please remit Payment to:
PageManager
PO Box 2008
Sylva, NC 28779
Card#: 
Expires: 
Cardholder Name: 
Billing Schedule Monthly Billing only available to Small Business and Corporate Accounts
Quarterly
Semi-Annually
Annually (free setup and discount)
Additional Comments:
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Thank you for using PageManager.Com

PageManager.Com Does Not Host Adult Oriented Sites
PMC Does Not Allow Sending of Unsolicited Email (SPAM)
First offense will result in immediate termination of account.
If this occurs the unused portion of your account will not be refunded.
PMC reserves the right to cancel your service with NO refunds should either of the above occur.

Contact us:
For questions and comments, email webmaster@pagemanager.com