Reseller Application Form
*required fields

In order to become a reseller you need at least ONE ACCOUNT with HostItCheap.com. If don't have one
please register your hosting plan. Once your application has been reviewed and approved, you will be contacted
by a HIC representative. Reviewal process takes approximately 48 hours. Please supply a phone number where
you can easily be accessed. Email inquiries to resellers@hostitcheap.com.

Reseller Information

  First Name*
 
Last Name*
 Address* (Line 1)
Registration Number
 
Address (Line 2)
  Phone*
  		City *
  Fax or alternative number
  		State/Prov.*     ZIP*
,
  E-mail Address*
  		Country*

Account Information
 Additional Info or Inquiries
Where did you hear about Host It Cheap?


Best hours to reach me are* (other than continental USA need only apply "other")

YOUR TIME ZONE
eastern central mountain pacific
Master Account Username
(Your existing account)*   
Desired name servers (i.e. ns1.yourhost.com)
Prefered method of contact*
E-mail     Telephone     Fax   
Are you currently a reseller for another hosting provider?* no yes
If your answer is YES will you be:
reselling for HIC exclusively
combining reselling plan w/ other provider
undecided




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