Hosting Plan Order Form
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Data Center
USA
Cable & Wireless
Hong Kong
i-Advantage
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Hosting
Domain registration
Total
333MB,
12 months web hosting
Use my existing domain
$25 AU x 12 mo
333MB,
12 months web hosting
New domain $5
.com/.net/.org/.us/.biz
$30 AU x 12 mo
for US $ we will calculate the cost and contact you
Note that the fields marked with
*
are required.
DOMAIN NAME
*
:
FIRST NAME
*
:
FAMILY NAME
*
:
ADDRESS 1
*
:
ADDRESS 2 :
COUNTRY
*
:
STATE :
CITY
*
:
ZIP (POSTAL CODE) :
PHONE
*
:
FAX :
E-MAIL
*
:
*
I have read and will abide by the"
Host Terms of Use
"
