Before filling out the Form below, please read the Terms and Conditions

If you are already an Affiliate, simply fill in your Name and Password, and the desired domain field entries you wish to add or change.

If you are a New Affiliate filling out the form for the first time, enter the password you wish to use for all future transfers or changes, and completely fill in all the form entries in RED. You may add more than FIVE Domain Transfers by filling out the form multiple times, but enter only your name and password after your initial submission.

We recommend your password be the name of your first pet or first puppy-love affair friend for easy recall.

Your Name:

Your User ID: Password: Confirm Password:

Your Phone Number: Your E-Mail:

Your Mailing Address:

City: State: Zip:

I have read and agree to the Terms and Conditions

YES, I Agree to the Terms and Conditions:

NO, I Do Not Agree to the Terms and Conditions:

About Your Payment:

We will invoice you via E-Mail or Postal Service for the options you select.
No domain transfers will be made until payment is received.
Please pay with a check or money order payable to ProSiteServer.
Bill Me Via E-Mail
Bill Me Via the US Postal Service (includes return envelope)


DOMAIN TRANSFERS (Up to 5 Per Form)

I Will Transfer the Domain(s) Myself with the Registrar to ProSiteServer (Data Below in Red)

NS1.PROSITESERVER.COM 12.45.40.195
DN.NOYAU.COM 205.227.116.107

SMTP Server for Outgoing Mail: mail.webformix.net

Please Transfer the Domain(s) with the Registrar for Me (at a Cost of $50 Per Name)
(You or the site administrator will be required to authorize the changes as e-mailed, faxed, or mailed to you by the registrar.)

Domain Name 1 You are Transfering:

User Name for Web Site 1 FTP Access:

Password for Web Site 1 FTP Access:

NOTE: If you will be using our E-Mail Server, then leave the Actual E-Mail Account Fields Blank.

1st Email or VEM (Virtual E-Mail Address) for Web Site 1:

Point 1st VEM to Actual E-Mail Account:

2nd VEM for Web Site 1:

Point 2nd VEM to Actual E-Mail Account:

Domain Name 2 You are Transfering:

User Name for Web Site 2 FTP Access:

Password for Web Site 2 FTP Access:

1st VEM (Virtual E-Mail Address) for Web Site 2:

Point 1st VEM to Actual E-Mail Account:

2nd VEM for Web Site 2:

Point 2nd VEM to Actual E-Mail Account:

Domain Name 3 You are Transfering:

User Name for Web Site 3 FTP Access:

Password for Web Site 3 FTP Access:

1st VEM (Virtual E-Mail Address) for Web Site 3:

Point 1st VEM to Actual E-Mail Account:

2nd VEM for Web Site 3:

Point 2nd VEM to Actual E-Mail Account:

Domain Name 4 You are Transfering:

User Name for Web Site 4 FTP Access:

Password for Web Site 4 FTP Access:

1st VEM (Virtual E-Mail Address) for Web Site 4:

Point 1st VEM to Actual E-Mail Account:

2nd VEM for Web Site 4:

Point 2nd VEM to Actual E-Mail Account:

Domain Name 5 You are Transfering:

User Name for Web Site 5 FTP Access:

Password for Web Site 5 FTP Access:

1st VEM (Virtual E-Mail Address) for Web Site 5:

Point 1st VEM to Actual E-Mail Account:

2nd VEM for Web Site 5:

Point 2nd VEM to Actual E-Mail Account:

NEW DOMAIN PURCHASES (Up to 2 Per Form)

Domain Name 1 You wish to Purchase:

User Name for New Site 1 FTP Access:

Password for New Site 1 FTP Access:

1st VEM (Virtual E-Mail Address) for New Site 1:

Point 1st VEM to Actual E-Mail Account:

2nd VEM for New Site 1:

Point 2nd VEM to Actual E-Mail Account:

Domain Name 2 You wish to Purchase:

User Name for New Site 2 FTP Access:

Password for New Site 2 FTP Access:

1st VEM (Virtual E-Mail Address) for New Site 2:

Point 1st VEM to Actual E-Mail Account:

2nd VEM for New Site 2:

Point 2nd VEM to Actual E-Mail Account: