eVetsite Systems / Basic Level Site Transfer

eVetsite Systems
888-332-5316
serving VIN'ers since 2003

Additional Services

Start a New eVertsite III Web Site

If you would like to get started with a new eVetsite III please fill out this form as completely as possible. We will contact you to further discuss your individual needs. Once we begin to process your request we will set up a new eVetsite III account in a (.evetsite.net) sub-domain for you to review. When you are ready, we will rediret your domain name to the new site.

Form - Basic Level Site Transfer Form

VIN Member Name on Account (required)
First Name (required)	Last Name (required)

E-Mail Address (required) :

Domain name (URL Address) (required)

eVetsite User ID: vet(number) (required)

Practice Name (required)

Practice Address (required)
Street Address (required)


City (required)	State/Province (required)	Zip/Postal Code (required)
,

Practice Phone (required)
Phone Type	Phone Number (required)

Fax Number (required)
Phone Type	Phone Number (required)

Contact Name (if different from above)
First Name	Last Name

Contact E-Mail Address :

Select Your Practice Type (required) :

Does eVetsite Systems manage your domain name? (required)
Yes
No
Not Sure

Do you use the eVetsite webmail system? (required)
Yes
No

How many eVetsite mail boxes do you now use?

PLEASE NOTE: eMail Address Book Data
We do not transfer email address book entries or past email, either sent or received! You must copy this information before we transfer your domain name as it will not be available to you on the new email system!

Addition comments, secondary domain names, misc.