signup0_heading.jpg

APPLICANT PERSONAL DETAILS

Title: Name: Surname:

Email Address:
Company Name:
Office Address:
Suburb/Town:

Town/City:     Province: Post Code:

Country :      Tel/Cell :

Annual Domain Registration…………….R180
Monthly Web-Hosting (Managed)………R249pm
Monthly Web-Hosting (Parked Site)……R 27pm
Monthly Web-Hosting (Static Site)……..R110pm
Planet-DSL 1GB Account………………..R 83pm
Planet-WiFi 1GB………………………….R250pm
RESELLER………………………………..FREE

Package:

By submitting this signup form you agree that you have read and understood the PlanetHost terms and conditions and the information that is supplied in this application form is true and correct in every aspect.


signup0_heading.jpg


Printable Application Form Here