Domain Name Registration and Hosting Form.

To Register and Host your "Domain Name" normally only takes an hour, simply fill in the application below to start the process !

The following prices apply for the more popular domain name registries & may change without notice:

Registrations: The registration of .com.au domain name, have quite specific rules of eligibility:

Unless a domain name is being applied for by a private individual, the registration application must be placed in the name of the business or company that is making the application.

You must fill in the required Red areas !

1st Domain Name:

www.

2nd Domain Name:

www.

3rd Domain Name:

www.

Registrant Owner:

(Who will be the owner of domain name)

Trading Name:

Eligibility ID Type:

Eligibility ID Number:

Eligibility Type:

I certify that the domain has a close & substantial connection to the person/business that it is intended to represent.

NIC Handle:

If you don't know what a NIC Handle is, then you won't need to fill this in.

Postal Address:

Town:

State:

Postcode:

Phone:

Fax:

Primary e-mail:

Other e-mails required:

Separated by comma (,)

Purchase Order Number:

If Applicable

Select Hosting Only:

2yrs Bare Bones Hosting Only. ($75.00)

2yrs Snow Gum Hosting Only. ($95.00)

2yrs Blue Gum Hosting Only. ($150.00)

2yrs Red Cedar Hosting Only. ($245.00)

2yrs IRON WOOD Hosting Only. ($345.00)

Domain Registration & Hosting:

2yrs Bare Bones Domain Registration & Hosting Deal. ($100.00)

2yrs Snow Gum Domain Registration & Hosting Deal. ($125.00)

2yrs Blue Gum Domain Registration & Hosting Deal. ($180.00)

2yrs Red Cedar Domain Registration & Hosting Deal. ($275.00)

2yrs IRON WOOD Domain Registration & Hosting Deal. ($375.00)

Additional Services:

If any, how many Extra e-mail addresses do you require ?

If any, what Extra Mb of web site storage do you required ?

Other Extras.

If other, please specify:

e-mail Configuration:

A default primary e-mail address needs to be set up,

usually something like, info@ or sales@yourdomain.com.au

What would you like Your(s) email to be ?

@yourdomain.com.au

(separate emails addresses by using a ",")

Have the ABOVE email account(s) made with Hosting for Downloading.

Have all e-mail received at this address and Redirected

to my current e-mail address of:

Have you filled all the RED fields above ?