Gushi Systems Web Hosting Signup
Please fill out this form completely.
We reserve the right to request verification of all information entered below.
Anything I have decided to put in this horrid yellow
color is required and the form will probably vomit on you if you don't
make it happy.
Please note all
"I don't share this info with anyone else without a subpoena, except
possibly a single staff member who may help me do clerical work. Your information
does not leave Gushi Systems." The exception of course is when a domain
is registered in your name, you must understand that this information is publicly
Part 1: Basic Information:
Note:This field is required for COPPA compliance, I only require
my users be over 13 to comply with this law. If you're not 18, don't
I already have registered this domain name.
I will register this domain name myself.
Please register this domain name for me for an additional $10.00
Finally, please prove that you're not one
of the many bots that's been abusing this form.: