CyberFace web host and domain registration order form

CyberFace Web Host and
Domain Registration Order Form

This web host and domain registration order form will ensure that we have all the information required to create a new account for you. This helps avoid misunderstanding and delays in getting your account ready!

The information you supply below will be immediately checked for any problems, and you will be advised of anything that appears to be incorrect. If at any stage you feel uncertain about the information required, just use the comments section below. We expect your web host and/or domain registration sign-up process to take an average of 3 minutes to complete.

Please note we require payment by debit order for the monthly hosting.

Please choose the service you are requesting. Domain Registration Only. Website hosting Only. Domain Registration and website hosting.
To ensure a smooth transaction we require the following details from you..... Domain Name I request the following Domain Name (Example: www.your-name.co.za). Has this domain name already been registered to you ? Yes No You can check if a domain name is still available here.

Contact Details - Domain Name Registration and/or Hosting Here we require the details of the lawful owner of the account, who has the official rights to the Domain name. This address is used for the registration at co.za NIC / INTERNIC.
Surname
First Names (required)
Company
Street/PO Box Address
City
Postal Code
Country
Phone
Fax (if available)
Cell (if available)
Current E-mail Address (required)

Hosting Options N/A if you only require Domain Registration and not Hosting services for your site. Please choose the type of hosting you require.
Standard - Account	Advanced - Account Master - Account

Optional: (Standard Account and up)
Activate Microsoft FrontPage Server Extensions.
Please note if you decide at a later stage to activate the above feature you may do so at your convenience and at no additional charge.

Further Wishes and Annotations
Congratulations! This is all the information we need to present your business on the World Wide Web. In order to complete your order you need to press "submit".

CyberFace Web Host and Domain Registration Order Form

CyberFace Web Host and
Domain Registration Order Form