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web hosting order form
If you want to join us on one of our hosting plans, please fill in this form and click "send".
Hosting Plan:
Please Select
Email $99 p.a.
Basic $198 p.a.
Silver $253 p.a.
Gold $396 p.a.
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New Domain Name (we will register it):
or
Transfer Existing Domain Name
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Postal Address:
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Suburb:
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City:
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State:
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Post Code:
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Country:
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Phone:
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Mobile:
E-mail:
Payment Method:
EFT
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(We will send your invoice by fax or email. Your account will be cancelled if full payment is not received within 10 days of activation)
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