PremiumHosting

Rebate Form

Be sure to include the following information on this form:

• * Which host you chose and the package
• * Your order / confirmation number
• * The primary domain name on your hosting account

Failure to provide any of the above information may result in your rebate being denied. Remember claims will be processed as follows: 60 days for Lunarpages accounts and 90 days for Hostgator.

All fields marked with * are required.