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(tel)+27 (0)82 322 6044
(fax) +27 (0)18 294 7162
info@nethabitat.co.za
 

 

 

 

 

 

Hosting Application Form

Only complete this form if you have an existing domain which you have transferred to NEThabitat. Should you require to register a NEW domain please fill out the registration form for new domain registration.

This is an official application form for hosting your already registered domain with NEThabitat. Please allow 5 working days for domain set-up.

Personal Detail

Company Name:

Contact Person:

Postal Address:
Physical Address:
Phone Number:
Fax Number:
Cell phone:
E-mail Address:

Hosting Options

Account type:

 Basic @ R109-00 vat incl.
Standard @ R159-00 vat incl.
Advanced @ R309-00 vat incl.
Master @ R489-00 vat incl.

Please activate FrontPage Extensions (Not available on Basic Account)

   

Any additional information required?

Payment Options
  I will pay monthly.
  I will pay annually (10% Discount on Hosting fees.)

By Submitting this Order form, I have read and agreed to the 
service contract and system policies.

© 2001 NEThabitat
Last updated: Friday, October 12, 2001
info@nethabitat.co.za