Reseller SSL Form

Please Note:
An SSL install requires an IP change, your computer might show the site as down as it will be remembering the old IP. Please keep in mind that this will go away in a few hours and will affect anyone that has been to it before. Please email support for instructions on how to manually cause Windows to refresh its internal cache of DNS entries if you would like to try to speed that up.

Also.... The address and organization information needs to match your WHOIS information for the domain for which you would like the SSL installed on.

PLEASE MAKE SURE THAT ALL INFORMATION OTHER THEN YOUR RESELLER USER/PASS/EMAIL IS THE INFORMATION FOR WHOEVER OWNS THE DOMAIN THAT THE SSL IS BEING PURCHASED FOR, THIS USUALLY MEANS YOUR CLIENTS INFORMATION.

Your reseller username::	*
Your reseller password:	*
Your reseller email:	*
Firstname:	*
Lastname:	*
Address:	*
City:	*
State:	*
Zip:	*
Country (i.e. US, CA, GB):	*
Organization:	*
Company Name:	*
Hostname(Note: The hostname is URL in which you which to access your secure ssl, i.e. www.domain.com.) :	*
Pricing Options:	*	- Select - 1 Year - $75 2 Year - $125 3 Year - $175
Do you authorize the non refundable ssl charge to your account, and a $2 / month or $24 / year dedicated IP charge? (Dedicated IP required for SSL)	*	- Select - Yes
How would you like the IP Billed (Monthly or Yearly)?	*	- Select - Monthly Yearly