| Thinking of signing up? Please contact us first before registering a domain name! |
| Organization Information |
| Type |
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| Name of Organization/Business |
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| Mission/Description |
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| Address |
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| City |
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| State/Region |
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| Zip/Postal Code |
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| Country |
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| Annual Budget/Sales |
$ |
| How did you hear about us? |
If you selected Friend or Other, please specify (i.e. person or website):
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| Authorized Representative |
| First Name |
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| Last Name |
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| Title/Position |
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| Email Address |
Please enter your current email address. |
| Re-enter Email |
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| Phone Number |
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| Fax Number (optional) |
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| Birthday |
This information is used to recover your password and for other security purposes.
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| Subscription Options |
| AltrueSite Package |
Standard $19.00
E-Plus $29.00
Premium $59.00
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| Billing Cycle |
Monthly
Annual (check only)
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| Payment Method |
Check (an electronic invoice will be sent to the email above.)
Credit Card (Visa or Mastercard only)
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| Altrue can offer you professional banner design and transfer of up to 5 pages of content, all for $69. |
| Site Setup |
Place a check in the box to take advantage of this offer. |
| If you already own a domain name or would like us to register
one for you, please enter it in the field 'Web Address'. The fee for registering or transfering a domain name is $25 per year.
If you have checked "Free Demo Site," the domain name will be registered after your trial period.
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| Web Address |
www.
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| Do you already own this domain name? |
Yes
No
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| Enter below a name to associate with your AltrueSite subscription.
Please use a short name related to your organization or business (We recommend you do not
use your personal name). For example, account names for our demo site, Non-Profits Online,
can be nponline, nonprofits, or nonprofitsonline. The account name will appear in your website URL. |
| Account Name |
lowercase letters and numbers only |
| If you have received a promotional code from us, please enter it below. |
| Code (optional) |
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By clicking the button below, you certify that you have read the policies and agree
to all of its terms. You are fully responsible for all content and backup of content posted to your website.
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