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(1) Please fill out this form.

(2) Print it by right clicking on the form.  Click PRINT

(3) Enclose a check for $60.00

(3) Mail form and payment to:

Anchor WebHost
Dan Souza
1149 Wolcott Rd
Wolcott,  CT 06716

 
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Accounts will be established on a good faith bases when check is received.  If check will not clear, then  the account will be suspended until  funds are secured.  Invoices are due upon receipt. 

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