ShopAlberta Virtual Domain Registration

Name:		Address:
Company		City:
Province	Postal Code	Phone (H)
(Business)	Fax	Email Address
Login ID	Password

Requested Domain Name

The Presidential	The CEO	The Manager	Vanity Domain
*$845.00 Yearly**	*$750.00 Yearly**	$325.00 Yearly	*$175.00Yearly**

Fees

Name Registration Fee

$75.00 Cdn

DNS Redirect

Redirect a domain to your own server NO EMAIL

$50.00

Virtual Email

E-Mail @ your domain .com

$99.00

Includes: one email address at your domain forward to your any existing email address

Payment Type

VISA

Mastercard

Card # Exp. Date
Name on Credit Card

This form constitutes an agreement between the Domain name holder and I Don't Know Inc. to provide domain hosting services for chosen domain package as listed above. All Domains are subject to our standard policies located at http://www.westerncanada.com/policy.htm .

Authorization (Signature) You must Type I Agree In Space Provided. All Prices subject to G.S.T.
All domains names are subject to Name Registration Fee charges of $75.00 CDN this amount will be billed directly to your Credit Card (if a Card number is provided) by Western Canada Internet. Name Registration Fee charges are in addition to any fees ShopAlberta may charge.

Refunds: No refunds will be provided for any name registrations submitted by ShopAlberta. If you make a error in the name it cannot be changed without an additional fee being charged. Before submitting this form please read this form carefully. NOTE! Once an order is received, it is automatically processed.

All applications will be verified prior to any work being completed.