Documents
Resources
Learning Center
Upload
Plans & pricing Sign in
Sign Out

OrderForm Hosting August v1 0

VIEWS: 13 PAGES: 2

									1. WEB HOSTING ORDER FORM
Domain                                                                                      Please state the domain name
                                                                                        relevant to this web hosting plan.
name
 Domainz Hosting Range                                  Annual Price (Gst. Inc.)                    Order


 Domainz Quick-Start
 Domainz Quick -Start Business                   $167.63
 Domainz Quick-Start Advanced                    $281.25
 Domainz Premier Hosting Range – Entry Level
 Unix U1000                           Annual fee $349.00 Set-up $50.00
 Windows W1000                        Annual fee $449.00 Set-up $50.00
 Domainz Premier Hosting Range - Windows
 Domainz Business W2000             Annual fee $549.00 Set-up $50.00
 Domainz Business W3000             Annual fee $1099.00 Set-up $50.00
 Domainz Business W4000             Annual fee $2499.00 Set-up $90.00

 Domainz Premier Hosting Range - Unix
 Domainz Business U2000               Annual fee $449.00 Set-up $50.00
 Domainz Business U3000               Annual fee $899.00 Set-up $50.00
                                      Annual fe e $2099.00 Set-up
 Domainz Business U4000               $90.00


2. CONTACT DETAILS
Name Holder ID
(if already a Domainz
Customer).
If you are already a Domainz customer, p lease ensure the Name holder ID is listed above.

First Name                                                                                   Last Name
Address 1:
Address 2:
Suburb
City                          Country                                                        Post Code
                Area &
Ph
                Country                                                Number
Number
                code
                Area &
Fax
                Country                                                Number
Number
                code
                                                                                                An order confirmation
E-mail                                                                                          will be sent to the
address                                                                                         email address you
                                                                                                state here.
3. PAYMENT
For new hosting plans, payment is required upfront. For faxed forms please include your credit card details. If you
send your form in by post, you may choose to attach a cheque or bank deposit record instead. Domain name
registrations will not be processed without payment .
TOTAL PAYMENT REQUIRED
                                            Domain Name Cost         $______._____(incl GST)
                                       Web And Email Package         $______._____(incl GST)
                                                          TOTAL      $______._____ (incl GST)
PAYMENT METHOD
                       Card Type            VISA       MASTERCARD           AMEX        DINERS         BANKCARD
(1) Credit Card        (circle one):
                       Credit card       ____________ /____________ /____________
                       number:           /____________
                       Expiry date:
                                         ______/______               Full name on card:

                                                                     $……………………………………from my credit
                       I authorise Domainz to deduct:
                                                                     card
                       Signature:

                       I have attached a cheque for:
(2) Cheque                                                                    $……………
                       I have attached record showing a bank
(3) Direct Credit                                                             $……………
                       deposit of:
Domainz will accept payments directly into our bank account. Please ensure that you reference your full
Customer/Name Holder ID and Name Holder name so the payment can be allocated against the correct account:
Bank: ANZ       Address: 215-229 Lambton Quay Wellington A/C: 010505 0676946 00
4 . WARRANTY, AUTHORISATION AND SIGNATURE
Today’s Date

Company/Organisation
(if applicable)
Full Name

Position

Signature

By agreeing to and signing this form, you warrant that you have read and accept the Domainz Terms of
Service. For Domainz Premier hosting products
http://www.domainz.net.nz/Domainz.asp?Content=hosting_terms
For Domainz Quick Start Hosting Products
http://www.domainz.net.nz/Domainz.asp?Content=Terms

Once your order has been processed, you will receive a n order confirmation and log -in details
to manage your hosting account and start uploading your website.

Remember to:
à Bookmark our w ebsite www.domainz.net.nz to access your control panel.
à Keep your login details in a safe place.
à Renew your hosting and domain name before expiry date.
à Keep your contact details up to date to be notified of renewal terms .
         PLEASE FAX THE COMPLETED FORM TO DOMAINZ: + 64 4 473 4569
           OR POST TO DOMAINZ, PRIVATE BAG 1810, WELLINGTON, NEW ZEALAND

								
To top