HOSTING DETAILS

 
Do you require domain name registration: Yes No
Domain Name :
*
Hosting Plan:
Would you like us to submit your site to leading search engines like Google and Yahoo: Yes No
Search Engine Submission:
Do you require Front Page extensions: Yes No
Do you require MySQL Database: Yes No
Do you require Shopping cart:
Secret Word in case you forget your hosting password: *
Your Preferred Password: *

Invoice Email Address:

 *

(Must be current)
   

 YOUR CUSTOMER DETAILS ONLY REQUIRED IF WE ARE REGISTERING A DOMAIN NAME FOR YOU

Domain Name Required :

Name of the Registered Company / Business:

Registrant Name:

(The person that will own this name, not the company name)

 For more information about the ABN/ACN or other Entities go to the following links.

ATO, ABR or ASIC
 

ABN/ACN of the above business:

 *

(Must be supplied or will not be registered)

Entity Type:

 *

What type of registration is it:

 *

State of the business name registration:

Registrants Address Line 1:

 *

Line 2

Line 3

Suburb/Town:

 *

State/Province:

 *

Postcode/Zip:

 *

Country:

 *

Daytime Phone Number:

 *

You can take the option of using our c/o postal address instead of your own private address which will be listed on the whois database for everyone to see. Please still provide your address above.

 		 Yes, use my address given above

No, use the C/O option

FORM SUBMISSION
When you submit this form, we will process it for you and you will be notified when the hosting is available. Allow upto 2 working days for processing of com.au names. A Tax Invoice will be sent to you, when payment has been received to our account and cleared.

PAYMENT DETAILS
PAYMENT CAN BE MADE BY DIRECT DEPOSIT TO THE FOLLOWING ACCOUNT DETAILS:

BANK:

Commonwealth Bank

ACCOUNT NAME:

INDITECH
BRANCH NO:

064817
ACCOUNT NUMBER:

1037 5384

 Make sure you  make the deposit, or your order will not be processed. For direct payments, make sure you make note of your domain name with your payment. If you cannot do this, then email us the branch your payment was made in, otherwise we will not process your order until YOU contact us.
 
   

 ALTERNATIVELY YOU CAN PAY BY CHEQUE OR MONEY ORDER MADE PAYABLE TO INDITECH

N.B To prevent any problems with accepting payments, we seek bank approval before your order has been processed to avoid unauthorised use of cheques. If there is a problem, we will contact you for confirmation.
   

How did you hear about Us:

   

Before you click submit, please check all details are correct - if you make a typo you will still be billed!

You will be directed to a thank you page when you click 'submit order'. If you do not go to this page, please email us as we may have not received your order.

 
 



 

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 Website Designed & Hosted by:   www.inditech.com.au