Internet Hosting Sign Up Form     

Use our easy online sign-up form for a new Busick Studios web hosting account. All information provided is held in the strictest confidence and will be used by our sales team to begin the process of setting up your account. Please submit accurate and complete information. Incomplete or incorrect submissions may delay the process. You may email this form anytime to Busick Studios sign up department. One of our sales associates will be happy to contact you. To go directly to credit card and online check payment page mouse click on make payment button below.


1. Basic Information

First Name:
Last Name:
Current E-mail Address
Zip Code:
Phone:   Fax:  

If you were referred to Busick Studios by a current member, please tell us so we may issue appropriate credit for this referral.

Member name:  

2. Web Hosting Info

Pick a login name for FTP access:
Pick a password for FTP access:
Confirm your password:

3. Domain Information

Busick Studios can now register your domain name(s) for you for only $20 per year.

Transfer my domain name registration(s) to Busick Studios for only $20 per year per domain
Register my NEW domain names for only $20 per year per domain
I will register this domain name on my own. Please provide me with Busick Studios' DNS information only please.

Enter the domain name(s) you are registering or transferring. We will not re-register or transfer your domains unless instructed to do so.

4. Optional Features

Please indicate which of the following optional features you would like on your Web Site.
FrontPage extensions
If you would like more then 5 e-mail accounts please indicate how many with the scroll bar below.

Please specify the names of your POP e-mail accounts in the space below:

Would you like SSL secure certificate set up?
I want SSL             I do not want SSL

5. Payment Method

Choose a payment method below:
Credit Card Payment      Online Check
Recurring Credit Card Payment     

6. Submit Information

Once you submit this form, we will process your account request and will contact you via email and/or postal mail and/or telephone, within 24 business hours, to confirm your request and complete the account establishment process. Thank you for choosing Busick Studios!

send inquiries to:
email: webmaster
Site maintained by Busick Studios staff
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