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 :_______________________ [  ] -  19.95 9.95 Monthly Basic Template
Last Name :_______________________
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.