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Secure Order Form      

Before signing up for hosting, make sure you have purchased the domain name that you are going to host with us. If you don't have a domain name, click here and save $20 on your domain name. Once you have secured your domain name, just fill out our simple order form below and your order will be instantly processed through our secure server.

 
 
Enter Personal Details:
First Name:
Last Name:
Company Name (optional):
E-mail:
Username:
(min 3 - max 9 chars, only a-z, 0-9)
Address Line 1:
Address Line 2 (optional):
City:
State:
Zip/Postal Code:
Country:
European Union Customers:
I am not VAT registered
I am VAT registered
VAT Number:
Valid Phone Number:
Fax (optional):
 
 
 
Choose your Hosting Plan:
Business / Personal Plan
15 GIGABYTES Disk Space, 300 GIGABYTES Traffic, 1 Domain Hosted
Corporate Plan
25 GIGABYTES Disk Space, 400 GIGABYTES Traffic, 10 Domains Hosted
 
$60.00 USD ( $5.00 US Dollars per month )
£37.20 GBP ( £3.10 Pound Sterling per month )
€54.00 EUR ( €4.50 Euros per month )
$83.40 AUD ( $6.95 Australian Dollars per month )
$79.80 CAD ( $6.65 Canadian Dollars per month )
$120.00 USD ( $10.00 US Dollars per month )
£74.40 GBP ( £6.20 Pound Sterling per month )
€108.00 EUR ( €9.00 Euros per month )
$166.80 AUD ( $13.90 Australian Dollars per month )
$159.60 CAD ( $13.30 Canadian Dollars per month )
 
 
Domain Name Options:

Use my existing domain
     
 (Need a domain name? Click Here)


www.
 
 
 
 
 
 
 
 
 
 
 
FEE:
$60.00 USD
£37.20 GBP
€54.00 EUR
$83.40 AUD
$79.80 CAD
$120.00 USD
£74.40 GBP
€108.00 EUR
$166.80 AUD
$159.60 CAD
VAT @ 17.5%:
$0.00 USD
£0.00 GBP
€0.00 EUR
$0.00 AUD
$0.00 CAD
$0.00 USD
£0.00 GBP
€0.00 EUR
$0.00 AUD
$0.00 CAD
TOTAL:
$60.00 USD
£37.20 GBP
€54.00 EUR
$83.40 AUD
$79.80 CAD
$120.00 USD
£74.40 GBP
€108.00 EUR
$166.80 AUD
$159.60 CAD
 
 
Choose your Payment Options:

      
      
      

 
By placing the order you agree with our Terms and Conditions and Cancellation/Refund Policy
 
* All form fields that are not marked as optional should be completed!

 
                

Note: Just 5 Bucks Hosting and/or LiquidNet Ltd. may appear during checkout
, depending on the payment option selected.                  

     
    
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