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Hosting Order Form

Thank you for ordering one of our packages. Just fill out the form below, print it and send with the Payment Advice Form to the address on the bottom of the advice form. We will process it immediately upon clearance.

Please note that payment for your account is due at the time your account is set up. The initial payment for each type of account is shown below:

Hosting Packages
Hosting Plan	Setup	Annual Fee
Host Here (Beenleigh.biz/yourname)	Nil	$120.00
SOHO 50MB e commerce Members	Nil	$199.00
SOHO 50MB e commerce Non Members	Nil	$360.00
SOHO 50MB DIY Members	Nil	$379.00
SOHO 50MB DIY Non Members	Nil	$540.00

About Membership.
* Please note that all prices include the 10% GST.

Please read our account policies before you sign up.

About Hosting:	Fields marked * are required fields. Please ensure all these are completed.
Package Type:
Is this:	A new domain (not yet registered) ? An existing domain ?
Transferring hosts?	Yes No
Domain name:
Do you want the FrontPage Server Extensions installed?	Yes No
Do you want the eCommerce Suite installed?	Yes No Please note that if you choose to add the eCommerce suite to your site after the account is set up, charges will apply.
You have read and agree to our terms and conditions	Yes No
How did you find us?
About You:
* Member	Yes No
* Membership #
* Your First Name:
* Your Last Name:
Business Name (if any):
* Current Email Address:
Current Web Site URL if any:
* Street Address:

* City:
* State:
* Zip:
* Country:
* Phone:
Fax (if any):
If you are responding to a special promotion please insert your promotional number here: