| Please print the following and mail the information to: | |
| DM Webhosting Inc. | |
| 725 Joan Ln | |
| Panama City, Fl 32404 | |
| Make Checks payable to: | DM Webhosting |
| First Name :_______________________ | [ ] - |
| Last Name :_______________________ | |
| Address:__________________________ | |
| City, St ZP:_______________________ | |
| Email Adress:______________________ | |
| Contact Phone:_____________________ | |
After recieving your check you will be sent your password
with a link to start creating your Web page.