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All-In-One Business Solution Order

To apply for HostSG All-In-One Business Solution package, please fill in the online form below with accurate information. The information will be kept confidential and only for HostSG use only.

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

Domain Name Information

Please Select your Domain

Please select New Domain Registration or Domain Name Transfer

Please enter domain name (eg. abc.com)

Domain Name Period:

All-In-One Business Solution Package Information

Fill in this section if you want HostSG to do web design service for your site

Package Feature:	1 Year Domain Name Registration (.com .net .org) 1 Year Gold Clustered Hosting Plan 5 Custom Design Web Pages Emailing solution ready Submission to search engine

Hosting Plan:

Web Site Purpose:

Additional Item:	Additional custom pages (S$150.00 per page) Additional Mock Up (S$170.00 one time fee) Logo (S$400.00 one time fee) Would you like us to design additional pages above the included number (S$120 per page)?

Specification of Web Site :

Registrant Information

Billing Address and Contact Information

Name:
Company Name:
Company Registration Number :
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

Services Term :	Base package price S$650.00 , setup fee S$0
	If you had select any additional item, the final invoice will be updated with the total fee.
Payment Method :	Cheque/Checks Money/Post Order Local Bank Fund Transfer (DBS/POSB) International Bank Fund Transfer (Extra S$10 surcharge) Credit Card via Paypal
	Paypal will be accepted for payments after one successful International Bank Fund Transfer (SGD 1 = USD 0.80) [Due to transaction fees]
Promotion Code :

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 :

How did you found out about us? :

Comments, Remarks, Special Instructions :

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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Malaysia Web Hosting

All-In-One Business Solution Order

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