DEWA Secure Order Form

Becoming a member of DEWA and advertise here at DEWA are easy. Just fill out the form below: This secure form will encrypt your personal information. You must use Netscape Navigator or Microsoft Internet Explorer in order to access this form.

You must provide your real first and last name, and email address for all orders -- all other blanks must be filled in as well. Your user name and password are both case sensitive.
Choose Order


3 month US$20.00 6 month US$30.00


US$300.00 US$225.00 US$150.00

Account Information

First Name
Last Name

Credit Card

Visa Master Card American Express

Card Number:

Cardholder's Name:

Expiration Date (MMYY):

User Name and Password

User Name (8 Characters):

Password (8 Characters):

Confirm Password:

User Agreement

  1. I agree to pay the above listed charges and acknowledge that all sales are final and no refunds will be given unless a technical problem exists which prevents access to the site.

  2. I understand that my credit card account will be billed by "DEWA Network" and all customer service and billing inquiries should be directed toward DEWA Network by emailing

  3. I understand that if I do not receive a password within 72 hours of submitting my application there is most likely a problem and I must contact for more information.

  4. WARNING: Credit card theft and fraud will be prosecuted to the fullest extent of the law.