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Simply fill out the form below, and we'll contact you asap!

It couldn't be easier! Simply choose the package that's right for you, fill out the form, and we'll contact you via email or telephone asap! Need to pay us? Pay us via paypal or by sending a company check to: Texas Webmail PO Box 201475 Austin, Texas 78717 tel: (512) 341-2500

Entry Level Account $60.00 year / $20.00 Setup yourname@texaswebmail.com Intermediate Account $120.00 year / $30.00 Setup yourname@texaswebmail.com www.texaswebmail.com/~yourname Corporate Account $240.00 year / $50.00 Setup yourname@yourname.com www.yourname.com

New Account Information
Account Type:	Entry Level Account: $60.00 year / $20.00 Setup Intermediate Account: $120.00 year / $30.00 Setup Corporate Account: $240.00 year / $50.00 Setup
If you have a Domain Name,  or want one, please enter it  here:
Should we register this  domain if it is not registered  already?	Yes No  ($30.00 for 2 year registration)
Email Features
What would you like  for your email address:	@texaswebmail.com
Another one,  just in case it's taken?:	@texaswebmail.com
Email Aliases?:
Password:
Repeat Password:
Extras & Add-ons
Search Engine Submission	No Basic $74.95 Setup / $9.95 Per Month Plus $149.95 Setup / $19.95 Per Month Gold $349.95 Setup / $39.95 Per Month
Web Site Features
CGI	Yes (add $2 a month) No
PHP	Yes (add $2 a month) No
Server Side Includes	Yes (add $2 a month) No
Payment Information
I will pay:	Annually
I wish to pay:	Via PayPal (pay to "sales@mmediausa.com")
	Via Credit Card (click here to pay now and select the         package you wish to purchase)
Contact Method:	Email Telephone
Comments or Questions?:
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