121Hosts - Affordable Web Hosting

Web Hosting Order Form

Creating an account is as simple as 1-2-3. In this step you must include all your real information including your real email & phone number for contact. We'll send you your account information via email. All payments are processed by Paypal subscriptions.

First Name :
Last Name :
Email :
Address line 1 :
Address line 2 :
Country :
Valid phone number :
How did you find us?

Domain Name to Host :

Please select one of the Plans

	Bronze Plan - Yearly payment $23.88
	Bronze Plan - Quarterly payment $5.97
	Bronze Plan - Monthly payment $1.99

	Silver Plan - Yearly payment $35.88
	Silver Plan - Quarterly payment $8.97
	Silver Plan - Monthly payment $2.99

	Gold Plan - Yearly payment $47.88
	Gold Plan - Quarterly payment $11.97
	Gold Plan - Monthly payment $3.99