Design and Hosting Enrollment Forms
Lock-Tech Web Innovations
Customer Information
Customer Full Name
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First Name
Last Name
Customer Email Address
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Company Name (if applicable)
locktech.org Website Username
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Website Design Plan Information and Options
What Design and Hosting Subscription did you purchase?
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Please Select
Basic Web Hosting
Personal Web Hosting
Enterprise Web Hosting
Enterprise Web Hosting for Nonprofits
(If you are a nonprofit) What is your state of 501(c)(3) registry?
(If you are a nonprofit) What is your corporation ID number?
Would you like to purchase a custom domain name? Custom names are billed separately based on Hostinger's pricing. If you select "yes," you will be contacted by a Lock-Tech representative with information regarding pricing.
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Yes
No
If you selected "yes," what would you like your domain name to be? Please give at least 2 options.
Below, if you selected "no," please input your desired locktech.org subdomain.
name
.locktech.org
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Agreements and Submission
Please sign below if you agree to all of the above conditions and to Lock-Tech website management. Click "submit" to complete the form once you are finished.
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