<title>PowerBNC Package Order Form</title><p>PowerBNC OrderForm.
</p>
<p> </p>
<form name="form1" method="post" action="">
<label>Select package
<select name="1" id="1">
<option selected>Reseller</option>
<option>BNC</option>
<option>Web hosting</option>
</select>
</label>When you buy a reseller you get 200MB hosting, subdomain and a Virtual Host to connect to the bnc with free! <br>
<label>Payment
<select name="2" id="2">
<option>Runescape GP</option>
<option>USD</option>
<option>GBP</option>
</select>
</label>
Payment is monthyly, If you don't pay within 2 days after the due date your package will be cut off.
</form>
<form name="form2" method="post" action="">
<label>Pay
<select name="3" id="3">
<option>Weekly</option>
<option>Monthly</option>
</select>
</label>
</form>
<p>Prices:</p>
<table width="373" height="128" border="1">
<tr>
<td height="28"><div align="center"></div></td>
<td><div align="center">Weekly</div></td>
<td><div align="center">Monthly</div></td>
</tr>
<tr>
<td height="23"><div align="center">BNC</div></td>
<td><div align="center">150k - £0.50 - $1</div></td>
<td><div align="center">500k - £1 - $2</div></td>
</tr>
<tr>
<td height="23"><div align="center">Reseller</div></td>
<td><div align="center">500k - £1 - $2.50</div></td>
<td><div align="center">2m - £3 $4</div></td>
</tr>
<tr>
<td height="42"><div align="center">Web<br>
Hosting</div></td>
<td><div align="center">200k - $0.50 - $1</div></td>
<td><div align="center">500k - £1 - £2</div></td>
</tr>
</table>
<p>Our support team are avaliable in #PowerBNC on irc.SwiftIRC.net</p>
<form name="form3" method="post" action="">
<label>IRC Nickname
<input type="text" name="4" id="4">
</label>
<br>
<label>Username
<input type="text" name="5" id="5">
</label>
<br>
<label>Password
<input type="password" name="6" id="6">
</label>
<br>
<label>Email Address
<input type="text" name="7" id="7">
</label>
<br>
<label>Way of payment
<input type="text" name="8" id="8">
</label>
<br>
<label>Subdomain
<input type="text" name="9" id="9">
</label>
This option is only required if you are chosing a reseller or a web hosting account.<br>
<label>Referal
<input type="text" name="10" id="10">
</label>
How were you refered to PowerBNC?
</form>
<form name="form4" method="post" action="">
<label>
I have filled in all of the appropriate information on the form and agree to pay my bill when it is required
<input type="checkbox" name="11" id="11">
</label>
<br>
I agree to keep my BNC in #PowerBNC at all times it is in use on SwiftIRC
<label>
<input type="checkbox" name="12" id="12">
</label>
<br>
I agree to not use PowerBNC for spamming or spambots.
<label>
<input type="checkbox" name="13" id="13">
</label>
<br>
</form>
<form name="form5" method="post" action="">
<label>You may contact me via IRC
<input type="checkbox" name="15" id="15">
</label>
<br>
You may contact me via E-Mail
<label>
<input type="checkbox" name="16" id="16">
</label>
</form>
<p>After you have sent in your order-form it will take upto 24 hours for your process to be fineshed, Invoices will be sent weekly/monthly to the email account registered with and a payment notice will be send 2 days before payment is required.</p>
<form name="form6" method="post" action="">
I have fineshed my form and i would like to submit for a package
<label>
<input type="submit" name="17" id="17" value="Buy Package">
</label>
<br>
If you have a question or want help, ask an Op in #PowerBNC and they would be happy to help you.
</form>
<p> </p>