New Site Registration Form

Welcome to our sign up page. For custom sites, please send us an email: sales [at] simple1.net.

Plan
Which hosting plan would you like? (Need help? Try our plan selection wizard)


Domain Registration
You have chosen to our full service domain registration where we handle all of the domain registration details. Please enter the domain name you would like registered for your site. (If the domain name you select is unavailable we will contact you to chose another.)

Domain Name:

Do you have a discount coupon code? (enter in all caps)

Customer Info
Your email address will be used as our primary contact with you. You will be notified at this address when your site is setup. And if you ever forget your password it will be sent to this address. Double check it and MAKE SURE IT IS CORRECT.

First Name:
Last Name:

Phone:
Email:

Login
Your username needs to be at least 6 characters long and may contain ONLY letters, numbers, and "-". It must start with a letter.
Your password needs to be at least 6 characters long and may contain ONLY letters or numbers. It must start with a letter and must include at least one number.

Username:
Password: 

I agree to the site terms.