Register Domain
 

Register Domain

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STANDARD DOMAIN APPLICATION

I, (the applicant) hereby applies for the following services (the services) provided by Interexcel at the prescribed fee;

Domain Name: This is to register a Domain "company.co.za" which is a unique Internet domain address stating that the company is resident in South Africa. Other registrations are available on request like (.org.za) which is for a non profit organisation or (.com) which is an international address and needs to be renewed annually.

Choice 1:

Choice 2:

co.za Domain registration = R 200.00 for first year and R70.00 per year thereafter.

.com / .net / .org domain registration = R 300.00 for first year and R150.00 per year thereafter.

Subject to the following terms and conditions.

1.             Submitting this electronic application will serve as a valid and binding contract between the Applicant named on the electronic form and Interexcel, after completion thereof by the applicant and receipt hereof by Interexcel.

2.             The services will be provided by Interexcel, with effect from the first day of the calendar month during which the first payment by debit order in terms hereof is effected.

3.             Payment for services will be made monthly in advance on the first day of the month, by debit order, for purposes of which the authorisation for payment by debit order hereafter is completed and submitted to nterexcel as part of this application.

4.             Interexcel reserves the right to, without notice, suspend all services if payment in terms of paragraph 4 hereof is not duly effected on due date thereof, and to terminate this agreement forthwith and without notice if such payment is not effected on or before the next payment in terms of this application becomes due and payable, and/or if such payment is not also duly made on due date thereof.

5.             Subject to the provisions hereof, the services will be provided for a 12 (twelve) month period, whereafter this application will automatically be renewed unless terminated by either party in writing by giving 1 (one) calendar month's notice.

6.             Interexcel hereby excludes liability for any reason whatsoever arising from the provision of the services in terms of this application or otherwise any warranties or representations hereto other than specified in Interexcel's Internet Service Agreement.

1. CONTACT DETAILS

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 Contact Details
Company Name:
Reg no:  
Contact Person
Title
Initials    
Surname:
ID:
Physical Address
 
Postal Address:

 
Postal code
 
Work telephone number
Cellular phone number
Fax:
Email address
 
Payment

 

I, the undersigned have read and understood the terms and conditions of this application and the information that I have supplied in this subscription form is, to my knowledge, true and correct in every respect. Payment by direct debit
Bank
Branch: Branch code:    
Account number:
Name of account holder:
I Account type:
I, hereby give authorisation to Interexcel to withdraw from my account / my company's account, detailed above, the Domain Name Registration fee in the amount of R on the first of the next calendar month.
Signed:  
Date: Place:
Technical Details

The following details are required should you be hosting your own site and have your own E-mail server.

Primary Network Server Name (Name Server
Server IP (Name Server):
Secondary Network Server Name (Name Server):
Server IP (Name Server):
Mail Server Name
Mail Server IP:
Network IP Block (Start) :
Network IP Block (End) :
Brief description what the company does
 
 

POLICIES
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graphics and logos are © copyright protected.

 


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