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ORDER FORM

Order Form

Items in Red are essential:

CUSTOMER DETAILS
First Name
Last Name

Number and Street
Suburb
City
Country

Current EMail Address
Home Phone
Work Phone
Mobile Phone

WEB HOSTING PLANS
None	Free
EziKiwi1 Yearly	$60
EziKiwi2 Yearly	$120
EziKiwi3 Yearly	$240
EziKiwi4 Yearly	$480
EziKiwi1 Monthly	$10
EziKiwi2 Monthly	$20
EziKiwi3 Monthly	$40
EziKiwi4 Monthly	$80

+

DOMAIN REGISTRATION
EziKiwi Subdomain	Free with web hosting plan
Domain Transfer	Free
International Root Domain (e.g. .com, .net, .org, etc)	$30 per year
.NZ Subdomain (.co.nz, .net.nz, etc)	$45 per year
.Other	$POA contact us
Domain Name (e.g. yourdomain.com, yoursubdomain.ezikiwi.com, etc.)

PAYMENT

Direct Credit / Bill Payment

Cheque (Personal or Bank Draft)

PayPal (Requires conversion to US$)

...Credit Card (Available Soon)

Electronic Invoice/Receipt

Paper Invoice/Receipt

ANY ADDITIONAL COMMENTS

TERMS AND CONDITIONS

I have read and agree to the EziKiwi terms of service (Y/N)

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©EziKiwi Internet Services Limited
Enquiries: sales@ezikiwi.com