Domain Hosting Registration Form

"*" indicates required fields

Name*

First Last

Email*

Enter Email Confirm Email

Phone

Company Name

Enter you company name if applicable

VAT number

Enter your VAT number if applicable

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Domain Action

Domain Name*

Select your Hosting Package*

Bronze Package
HOSTING FEES R350 per year OR R35 pm (invoiced quarterly)

Gold Package
HOSTING FEES R650 per year OR R65 pm (invoiced quarterly)

Platinum Package
HOSTING FEES R360 billed quartly

Empire Package
HOSTING FEES R550 pm

Select your Hosting Package for your emails and website to live in.

Payment Option*

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