Web Hosting Application Form
 
Yes, I would like Web Genesis to host my site.

Yes, I would like to accept your two months free hosting offer for 18 months.
My site is live: Yes No
Web Address of site to be hosted
I will be transferring my site via: FTP Front Page
OR I would like Web Genesis to transfer my site.
Fist name:
Last name:
*Email:
*Phone:
Company:
Web Address:
(if different)
Other Comments:  
I have read the hosting Terms & Conditions
 
Please be patient, it may take a minute to submit.
IMPORTANT INFORMATION - Please Read
You will receive an invoice within 3 working days of submitting your details

Paying by EFT
$99.00 (set up fee) plus $234.00 (6 months hosting)
Total = $333.00 plus GST

Two Months FREE Hosting offer
$624 plus GST (18 months hosting)
Total = $624.00 plus GST

Please email the following information to:
info@webgenesis.com.au

  1. The URL of who your domain name is registered with.
  2. A registry key and/or password as supplied to you when you registered your domain name. You would have received this by email.
  3. Login access to your current website if you require Web Genesis to move your site. This will include a URL and login details.