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Application for web hosting

Web site address wished Does it already exist?

Registered Company Personal capacity

Registered Company
VAT Number (if have)
 Full company name
Registration Number
Personal Capacity & Registered Company
Your full name
 ID
Tel.
 Mobile
Email
Description of product/service/addvertising/information that site will hold
Physical Address
 Postal Address
Which option do you wish to take?

Linux
Budget
Professional
Huge

Windows
Budget
Professional
Huge

Is D-Ranged creating this site for you?
Do you wish to submit your web site to over 800 major search engines and directories! At a cost of R650

Payment
Monthly Annual

Payment may be made in cash, electronic transfer and deposit. Regrettably no cheques are accepted under any circumstances. Payment is to take place in 31 days of delivery or site will be removed.

Terms

Under no condition may any illegal content be placed on your site, you may also not post any content that is sexually or other wise explicit.
Do you accept these terms? Yes No