Internet - Website Order

Yes! Design and Host a website for me or my Company!

Your/Your Company Information

This information enables us to contact you and register the domain name in your or your company's name. The information is for Smartsoft, LLC only and will not be shared!

Last Name

First Name(s)


Company Name

Company Legal Name

Email Address


City, State, Zipcode

Phone Number

Fax Number

Cell Phone Number


Website Information

Website Plan

Register in

Preferred .com Domain Name(s)

Try using something with your or your company name in it. Examples:,,,,
Separate the domain names with comma's as done above.
Use suffixes as
online, direct (,,
Use combinations with
city, county, state, country. Example:
Provide at least 10 domain names in order of preference.



Credit Card Information

If you do not want to submit this kind of information online, leave it blank. Checks and money orders are also accepted. The confirmation page that will appear after you click the Order Now! button will give you an option to print this information and send it to us via regular mail.

Credit Card

Credit Card Number

Expiry Date

3 Digit Code

Name on the Card