Step One: Account Information
In the area below, please enter the details of your web hosting account.
Domain Name:
If you do not have a domain name, register your domain name first to ensure it is available. If you already have a domain name, directions on how to make the domain work with your new account will be included in your setup letter.
Username:
Your username must be 8 characters or less in length. Most common usernames, such as "www", "admin", "sales" or "info" are not available. You
can
use anything@yourdomain.com as your e-mail address - but not as a username. Usernames must be unique.
Password:
When selecting a password, do not use your domain name, username, telephone number or any other identifiable information. It is best to use a special character, like * # & $ or @ in your password.
FrontPage:
Yes - Install the FrontPage Extensions.
Check this box if you have used Microsoft FrontPage to develop your site and are planning to use FrontPage to upload publish (upload) your site. If you are planning to use FTP to upload your site, don't check this box. Note that the FrontPage extensions can be added at any time, so you can request them at a later date.
Step Two: Select Your Plan
Please select one of the billing options below: Monthly and Annually billing terms are available.
Which Hosting Plan:
Please Select Your Plan
Budget 10MB Hosting Plan $12.50AU
Bronze 20MB Hosting Plan $15.50AU
Silver 40MB Hosting Plan $19.50AU
Gold 80MB Hosting Plan $26.50AU
Which Billing Plan
Please Bill me Monthly
Please Bill me Annually 10% Off
Please Bill me 3 Monthly
Please Bill me 6 Monthly
Step Three: Client Information
In the area below, please enter information about you and/or your company. If you do not have a company, please enter your personal details in the company information section.
About You
Name:
Title / Position:
Company Information
Company Name:
Street Address:
City/Town:
State/Province:
Country:
ZIP / Postal Code:
Telephone / E-mail Contact Information
Business Telephone:
Home Telephone:
Other Telephone:
Fax Number:
E-mail:
Other E-mail:
Other Ways to Contact You:
Other Things We'd Like To Know...
Where did you hear about us?
-------------
Google
Yahoo
AltaVista
Other Search Engine
Magazine Ad or Write-up
Earthlink
Banner ad on another web site
Another BlueChipHost Client (list their domain name below)
Word of mouth
Other
Notes or Special Instructions?
Step Four: Billing Information
Mailing Check / Money Order
With this method of payment,
your account will not be set up
until the payment arrives and is processed by our billing department
. Please mail your check / money order to:
Reverence
New Accounts Department
Lot 2 McNeil Ave
Lilydale, Victoria 3140
Australia
All prices are in Australian funds.
Step Five: Submit Your Order
If you have filled in the information above, you are now ready to submit your order.
Service Agreement:
I have read and understand the
Terms and conditions
, and I agree to the terms therein.
You must check this box, or the order will not be processed.
Submit Order:
To submit your order, click on the button.
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