with Free Web Hosting provided by

Order Form

You have chosen to publish your new web site using our Free Web Hosting option. Your web site will be published in the "Free Sites" section of the domain. 

This means that your web site's URL will look something like:
where yoursite is based on your SiteBuilderAnywhere Username

We reserve the right to remove any web site from Free Site status at our sole discretion.

Have questions? Please give us a call at (800) 234-3862.

Choose Your SiteBuilder Plan
Select the desired SiteBuilder Anywhere package.
SiteBuilder Plan:
SiteBuilder UserName & Password
Please specify your SiteBuilder Anywhere SiteBuilder login UserName & Password. This will identify which SiteBuilder account you want to publish.

User Name:
Payment Frequency
You are ordering our "SiteBuilder Anywhere" web site creation package with the Free Web Hosting option. 
SiteBuilder Plan:  Paid 

How did you hear about SiteBuilder Anywhere? 

If referred by a Friend, please indicate
their Name or website URL

Billing Information 
The address given should be the mailing address at which you receive your credit card statement.  Incorrect or incomplete Contact information will cause account setup and notification delays.

First Name:
Last Name:
Mailing Address:
2nd Address Line: 
Int'l Province:
Zip/Postal Code:
Daytime Phone:
E-mail Address:
Additional information and instructions will be sent to this e-mail 
address.  Please ensure that it is correct.
If possible, avoid specifying
a free e-mail service address (such as,, etc.).

Off Network
E-mail Address:
Please enter a different e-mail address to provide us
with an alternative way to contact you, if possible.  
Any valid e-mail address is acceptable here.

Terms and Conditions
Read the Terms & Conditions.  If you agree to them, check the box and press the "Continue" button below. SiteBuilder Anywhere is a service provided by

I have read and understand the Terms and Conditions and I agree to abide by them.   (IP:

If you have questions or encounter a problem, please call our 
toll-free support line at (800) 234-3862

Copyright © 2001,2011 ServantHost LLC  All Rights Reserved.