Your name:

Your address:

Your phone #:
(Will only be used in case of emergency,
email is our preferred method of contact)

Your current email address:

Please enter your domain name here:

Do you want me to register this domain name for you?
(Annual registration fee is $12 in addition to hosting fees)
  Yes
  No

If I'm registering a domain name for you, do you want private registration to keep your information out of public view?
(Private registration is $13 in addition to hosting fees and the domain registration fee)
  Yes
  No

Select your hosting plan:
Small Hosting Plans
  30 meg webspace, 500 meg bandwidth
  50 meg webspace, 1000 meg bandwidth
  100 meg webspace, 1500 meg bandwidth
Large Hosting Plans
  200 meg webspace, 4 gig bandwidth
  400 meg webspace, 6 gig bandwidth
  600 meg webspace, 8 gig bandwidth
  800 meg webspace, 10 gig bandwidth
  1000 meg webspace, 15 gig bandwidth
(For plans larger than 500 meg or with higher bandwidth, please contact us for custom prices.)

What payment schedule would you like?
Small Hosting Plans
  Annual (no discount)
Large Hosting Plans
  Monthly (no discount)
  Quarterly (5% discount)
  Semi-Yearly (7% discount)
  Yearly (10% discount)

Please tell me briefly what kind of website you will have on your domain:
For example, if it's a family site or if it's for a business, what kind of products or services?

Additional Info: (Optional)
Any other info you think might be helpful

Where did you hear about us? (Optional)

WARNING! By requesting a hosting account at Glenfinnan Web Hosting, either thru this form or thru the email link below, you confirm that you have read and agreed to the Terms of Service.