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

 

 

 

 

 

 

Register Your Domain

This is an official application form to register your own domain and host it at NEThabitat. Please allow 5 working days for registration of a new domain.

Personal Detail

Company Name:
Contact Person:
Postal Address:
Physical Address:
Phone Number:
Fax Number:
Cell phone:
E-mail Address:
Domain Registration
(Format: www.domainname.type)
Domain Detail: Domainname:    
Type: *
* Specify Other 
  Please register the above domain 
       and host at NEThabitat.
  The above domain is already registered 
       to me.   Please transfer to NEThabitat.

Hosting Options

Account type:
Please activate FrontPage Extensions (Not available on Basic Account)
  
If Account Type is Multiple or Parked, please specify your Main Domain Name. (Only for existing clients)
   
For any additional hosting options please describe at Additional Info.
Additional Info:
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