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*First Name *Last Name
Street Address
City Province AB BC MB NB NL NWT NS NU PEI SK ON QC YT Postal Code
*Telephone Number email address
Desired Domain Name
First Choice
Second Choice
Third Choice
Type of Site Desired
Package Low Bandwidth Basic Web Presence ($99.00 per Year) Basic Web Site ($150.00 per Year) Mid Range Site ($249.00 per Year) Pro Web Site ($409.00 per Year) Personal WebSpace ($149.00 per Year)
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