* Name:

* Email:

Current Site:

If you don't have one, that's fine, instead please make a small sample page to demonstrate you know basic html. I will email you asking for this.

* Desired site name:

.punkfairie.net

* I acknowledge that I have read the "Hosting Info" page in its entirety, and agree to follow the rules.

* Additionally, I acknowledge that hosting is provided free of charge, and that this server is run as a hobby project by an amateur. As such, there are no guarentees that the server will work perfectly 24/7.