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To help us quickly process your account, please take a few moments to complete the following information. Within 24 hours 711.Net will contact you with all the information you need to establish your website on our servers.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Desired Domain name (Url Address) - Can be in the form of (http://www.711.net/your-name) or (http://www.your-name.com). Note: There is an additional $50 fee to register and setup your own domain name. Please check Internic to make sure your desired domain is available. Enter your choice here:

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

Position/Title:

NOTE: 711.NET reserves the right to deny or promptly remove any Website found in non-accord with said "Statement of Faith & Pledge of Conduct" or any parties found to display or distribute views, products, or services contrary to the honor and glory of our Savior, Jesus Christ.

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.

Name of Organization:
Contact Person's First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Current website address (if applicable):
Breifly describe the contents of your website:
Which Plan is best for you?
Billing Plan:	Yearly Monthly
Method of payment:	Credit Card Check

Any additional requests or comments?

AFFIRMATION OF FAITH & PLEDGE OF CONDUCT

All Internet/World Wide Web sites displayed on 711.NET represent organizations/businesses owned and/or managed by Christians, each attesting their Statement of Faith as signed hereto:

Party attesting and affirming to the above said Statement of Faith & Pledge of Conduct:

Enter Name Here:

**If paying w/credit card, please use our Secure Payment Form after submiting this information.