Oznet Internet Services
Email Hosting Form

Secure Form

We thank you for choosing our service for your online presence. You'll be well pleased with the service. Please fill in the form below and submit it. we will contact you with the confirmation. This form is Secure

Information:  (All fields should be completed.)
E-mail address:
First name:
Last name:
Title:
Company/Organization :
Address:
City:
State:
Post code:
Phone:
Fax:


If you are registering a Domain Name and Hosting, say so in the Comments area. If you are registering and hosting a .com.au domain our charge for Registration is only A$90 + GST = $99. If you already have a registered Domain and re-delegating, put "re-delegation" in the Comments area below. If you are not sure what you need to do, say so in the Comments.

Domain Name
Password max. 8 alpha-numeric characters
Hosting Plan:
GST at 10% to be added for Australian Residents
Method of Payment
Credit Card No:
Expiry Date
Verification Code
Name on Card
Comments
Are you also interested in any other Service?


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Warning: Credit card fraud is a crime and we will aggressively prosecute anyone attempting to misuse a credit card number. Your IP address is logged for security purposes.


Oznet Internet Services Pty Ltd:
ABN 66 091 971 587
Sydney,  Australia
Phone: 0425 286 233
http://oznet.com.au/