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Please complete the following enquiry form and one of our consultants will
be in touch shortly.
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COMPANY CONTACT INFO |
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| Contact Person: |
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| Company: |
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| Email: |
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| Telephone: |
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| Cell: |
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DOMAIN CHOICES
Note: Please include the suffix, e.g. "yourdomain.co.za" or "yourdomain.com", etc |
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| Option 1: |
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| Option 2: |
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| Option 3: |
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DOMAIN OWNER INFO |
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| Owner (Person/Company): |
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| Postal Address: |
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| Physical Address: |
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| Tel: |
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| Fax: |
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| Email: |
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EMAIL ADDRESSES REQUIRED |
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Email Addresses:
(not all need to be set-up) |
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Terms and Conditions
1. Set-up Payment requirements:Half Payment is required upfront. Full Payment is required on completion.
2. Monthly payment requirements:Web hosting is to be paid via Monthly Debit Order or one Year in advance (10% discount)
3. Content and branding: Required in a usable digital format before we can start with any work.
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| Agree to terms and conditions |
