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Web Hosting Sign Up Form
Thank you for choosing to host your web site with Dotcom Hosting. Please take care to fill out the application completely, as delays may occur if we need to contact you regarding details.

YOU WILL NEED A DOMAIN NAME SO THAT WE CAN HOST YOUR WEB SITE.

If you don't already have a domain name then you will first need to check if your preferred domain name is available, please click here www.domainz.net.nz/Domainz.asp


PERSONAL DETAILS  
Full legal name of organisation or person:
Company name:
Phone Number (including area code):
Address:
E-mail:

 

YOUR PREFERRED OR EXISTING DOMAIN NAME:


Is this Domain Name:

New? (If new then Dotcom Hosting will register this domain name for you and bill you separately for the domain charges New Domain charges)

Existing and hosted by Dotcom Hosting?

Existing and hosted by another company?(You will need to arrange directly with your other ISP to map your domain name to your new web site.

 

USER DETAILS  
Login (choose account login name):
Password (choose an account password):

 

HOSTING TYPE  

Monthly Hosting Basic $12 charged monthly

Monthly Hosting & E-Mail $15 charged monthly

Monthly Hosting with E-Mail & Stats - $20 charged monthly

Annual Hosting Basic - $120 prepaid annually (save $24)

Annual Hosting & E-Mail - $150 prepaid annually (save $30)

Annual Hosting with E-Mail & Stats - $200 prepaid annually (save $40)

 

PAYMENT TYPE  

Invoice

Send Cheque

Credit Card

 

 



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