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Domain Name Order (Without Web Hosting)

 

To sign up for a new domain name registration, please fill in the online form below with accurate information. The information will be kept confidential and only for HostSG use only.

Note: Use this sign up form only if you wish to order a new domain name and without a web hosting plan. There will be NO email or hosting account.


To register for both domain name and web hosting (with email), use our web hosting sign up instead.


Sign Up Instructions
Sections in bold denote required field, while you may skip section which has 'optional' at the top.


Reseller Information (optional)

For HostSG Reseller Only

Please fill in the information required if you are a HostSG Reseller, otherwise you may skip this section.

Are you a HostSG Reseller?
Reseller Organisation/Name :
Reseller ID :
Number of account including this account :

Domain Name Information  

Please Select your Domain


Please select New Domain Registration or Domain Name Transfer


Please enter domain name (eg. abc.com, or abc.com.sg)

Domain Name Period:



Additional Domain Information (optional)


For any additional domains that you wish to register or transfer to HostSG, please type in the space provided below. Skip this section if not applicable.


key in 'www.domain.com' for each domain.

 

Domain Hosting Information


Domain Hosting Information

Please select how you want your domain to be hosted.


If you have selected to host on your own nameserver, please provide DNS information below. (Optional)


Your own primary nameserver :

Your own secondary nameserver :
If you have selected to host on HostSG nameserver, but point to a specific IP, please provide IP Address below. (Optional)

IP Address : S$36.00 per year

Registrant Information

Billing Address and Contact Information
Name:
Company Name:
Company Registration Number :
* Required for .COM.SG Domain Name Registration
Primary Email Address:
Secondary Email Address:
Home Phone Number:
Work Phone Number:
Mobile Number:

Fax Number:

Address:

City:
State/Province:
Country:
Zip/Postal Code:

Billing Information

Select Your Payment Method and Service Term

Payment Method :
  Credit Card via Paypal will be accepted for payments in USD rate at (SGD 1 = USD 0.80) [Due to transaction fees]

Please Let Us Know(optional)

General Information
Please fill in the information required to take advantage of HostSG existing customer privilege.

Are you an existing customer? :
Current Domain :
   
Comments, Remarks, Special Instructions :
Please enter the image verification as shown: verification image, type it in the box

By submitting this form , you are agreeing to
:: authorize HostSG to process this server order in accordance with the terms stipulated below.

:: verify that the contents provided above, including payment details are accurate.
authorize HostSG to process my payments as specified above.

:: the terms of service, AUP, and billing policy previously set forth by HostSG.





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