You must have a domain name first and before filling out this form. We are NOT a Registrar and we do NOT sell domain names. If you don't have one yet, go to GoDaddy and purchase your name for $8.95 per year. Then come back here. You are registering for CPanel hosting space or access to MembersOnly on EayOK Hosting on the Net. The other control panel hosting services are not available here. If you want those services, go back to Hosting & E-Mail Services with EayOK!, or Hosting with It's EayOK!.

To assure that your registration is accepted, please fill-in ALL fields below.
Full Name:
Street Address:	(no PO Box, please)
Address (cont.):
City:
State:	Not Selected Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Province:	Coose a Province Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Nunavut Northwest Territories Ontario Prince Edward Island Quebec Saskatchewan Yukon
Zip/Postal Code:
Country:	-- Choose a Country -- United States Anguilla Argentina Australia Austria Belgium Brazil Canada Chile China Costa Rica Denmark Dominican Republic Ecuador Finland France Germany Greece Hong Kong Iceland India Ireland Israel Italy Jamaica Japan Luxembourg Malaysia Mexico Monaco Netherlands New Zealand Norway Portugal Singapore South Korea Spain Sweden Switzerland Taiwan Thailand Turkey United Kingdom Uruguay Venezuela
Home Phone:
FAX:
E-mail:
Your "Registered" domain: www. include the .com, .net, etc.
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