Hosting Reseller Order Form

Please fill in the form below which will be sent directly to the SkyLap staff. Once we recieve this information, we will immediately prepare our systems to recieve your domain name. If you plan on uploading copyrighted MP3's, Warez, or other illegal items, please don't bother to signup. Your account will be suspended and deleted with no warning. To pay by mail, please contact us.

Please read our Acceptable Use Policy before proceeding.

Contact Information

* Name (first, last): ,

* Email Address:

* Address:
* City:
* State/Providence:
* Zip Code:
* Country:
* Phone:

Domain Name & Hosting Account Information

* Domain Name:  http://www.
* Choose Your Account Password:

This is your main domain name for the reseller account.

The domain name is required to have the following domain servers below:
Primary Nameserver:
Secondary Nameserver:

Choose Your Hosting Plan

Choose Your Plan:

2 Payment Options

Option 1.  I will pay using a Credit Card (Details on next page)
Option 2.  I will pay by Check or Money Order (Details on next page)
Option 3.  I will sends funds via (Details on next page)

Please Check Your Required Features  (will email after order)

Personal DNS Name Servers ( & ns2)

Acceptable Use Policy (AUP) & Terms of Service (TOS)

I have read and agree with the terms presented in the AUP & TOS.

Any other Comments or Questions:

How did you find us:

You will receive a welcome email containing the URL to your Online Control Panel, Account Information, and Tech Support Contact Information within 24 hours of receipt of payment. 

Copyright SkyLap 1999-2004. All Rights Reserved. privacy policy