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NIHOST Hosting Order

Please submit your hosting order for services and you will receive a confirmation email shortly with your setup details..

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Contact Details

Your Current Email Contact

Are you an existing Client Yes No If yes, please supply your 7 digit client acct >

Your Password

If you are an existing client please enter your password, if new please create a password. For Security reasons your password must be 6-8 Characters long and include at least one letter and one number.

Your Name

Your Organisations Name (if applicable)

Address Line 1

Address Line 2

city state/territory Zip/Post Code

Country

Phone number (incl area code) Fax number

Domain Details

The domain name you wish to host include full domain name

	Type of Domain Service Required	Cost
	subdomain of .nihost.org ( i.e. www.domain.nihost.org , you@domain.nihost.org)	No Charge
	New Domain Required, please register it for me ( Includes Two years registration fees on my domain name)	$USD27.95
	Transfer my existing domain .com / .net / .org / .biz / .info ( I will receive an additional Two years registration on my domain name)	$USD27.95
	Self Transfer (I will arrange my own transfer of the domain name)	No Charge

Hosting Details

	Type of Hosting Required	Features	Cost USD	Cost Aud
	Basic	Free Setup, 10Mb of Storage, unlimited email address	$USD5.95	$AUD10.95
	User 30	Free Setup, 30Mb of Storage, unlimited email address	$USD7.95	$AUD13.95
	User 60	Free Setup, 60Mb of Storage, unlimited email address	$USD9.95	$AUD17.95
	User 100	Free Setup, 100Mb of Storage, unlimited email address	$USD9.95	$AUD17.95
All amounts shown are monthly.

How often would you like to be billed for your hosting service Quarterly Annually (5% discount on hosting)

Payment Details

I Wish to pay in US Dollars, you will receive an emailed invoice with payment instructions by Pay Pal, for payment by Credit card or from your pay pal account. Once your payment is confirmed your hosting account will be activated.

-OR- I Wish to pay in Australian Dollars, credit card details .Visa Mastercard/Eurocard

Credit Card number

Name on Credit Card

Credit Card Expiry Date

3 digit AVS code click here for info on AVS codes required if present on card

Your Credit card will be billed as Astute Pacific-Norfolk Island in Aud

Re-Confirm Details

Please re-enter Your Email address

Please re-enter Your Password

Note: By submitting this information, you agree to pay all charges applied by NIHOST in connection with your use of NIHOST Service and to abide by the rules and agrement.