Account
Information:
Product
Package*
Please
select the
hosting package you are interested in.
SMB All-in-one @ S$288 (1 yr 1500MB hosting + Domain + 5pg
WebDesign + Freebies)
National Day Web Hosting @ S$98 (2 yr 800MB hosting + Domain +
Freebies)
Biz-Starter: S$25 setup + S$90 p/yr (Free Domain Name)
Biz-Enhanced: S$25 setup + S$120 p/yr (Free Domain Name)
Biz-Premium: S$25 setup + S$188 p/yr (Free Domain Name)
Biz-Platinum: S$25 setup + S$308 p/yr (Free Domain Name)
SOHO Lite: S$25 setup + S$96 per 2 years.
SOHO Deluxe: S$25 setup + S$168 per 2 years.
SOHO Mega: S$25 setup + S$288 per 2 years.
SOHO Supreme: S$25 setup + S$480 per 2 years.
Domain Parking for existing customer (S$10 setup + S$12 p/yr)
Domain Name Order Only - No Parking Fee
Web Design Only - No Hosting (Please Call)
- Send no money now. We will contact you for verification and
confirmation.
- For multi-year sign-ups, we will adjust the discount before invoicing.
Number
of Years
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
Web
Design
Select the
web design package you need. See web design
details & pricing here .
XpressWeb 6 page - S$288 (2 yr SOHO plan sign up)
XpressWeb 6 page - S$238 (with 2yr Business Hosting Plan)
XpressWeb 10 page - S$388
XpressWeb 20 page - S$688
No Web Design Needed.
(bundle with
hosting only)
Reference Code (if any)
Send Invoice To*
Specify who
will handle payment. For resellers, please choose
"Agent".
Agent - On
behalf of customer Customer / Domain
Registrant
Send Server
or Domain Info. To*
Specify who
will receive the server configuration information.
Agent - On behalf
of customer Customer / Domain Registrant
Payment Method*
Cheque Bank
Draft Money/Postal Order Cash
payment at our Office
Internet Banking - Fund Transfer
Agent Information:
If you are reselling this package, please complete this portion.
Agent Name
Agent Organisation
Agent Address
Agent Address
Line 2
Agent City
Agent State
Agent Postal/Zip Code
Agent Country
AFGHANISTAN ALBANIA ALGERIA AMERICAN
SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA
AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA
AND HERZEGOVINA BOTSWANA BOUVET
ISLAND BRAZIL BRITISH
INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA
FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE
VERDE CAYMAN ISLANDS CENTRAL
AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS
ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO,
THE DEMOCRATIC REPUBLIC OF THE COOK
ISLANDS COSTA RICA COTE
D'IVOIRE CROATIA CUBA CYPRUS CZECH
REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN
REPUBLIC EAST TIMOR ECUADOR EGYPT EL
SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND
ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH
GUIANA FRENCH POLYNESIA FRENCH
SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD
ISLAND AND MCDONALD ISLANDS HOLY SEE
(VATICAN CITY STATE) HONDURAS HONG
KONG HUNGARY ICELAND INDIA INDONESIA IRAN,
ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA,
DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA,
REPUBLIC OF KUWAIT KYRGYZSTAN LAO
PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN
ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA,
THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL
ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA,
FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS
ANTILLES NEW CALEDONIA NEW
ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK
ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN
TERRITORY, OCCUPIED PANAMA PAPUA
NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO
RICO QATAR REUNION ROMANIA RUSSIAN
FEDERATION RWANDA SAINT
HELENA SAINT KITTS AND NEVIS SAINT
LUCIA SAINT PIERRE AND MIQUELON SAINT
VINCENT AND THE GRENADINES SAMOA SAN
MARINO SAO TOME AND PRINCIPE SAUDI
ARABIA SENEGAL SEYCHELLES SIERRA
LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON
ISLANDS SOMALIA SOUTH
AFRICA SOUTH GEORGIA AND THE SOUTH
SANDWICH ISLANDS SPAIN SRI
LANKA SUDAN SURINAME SVALBARD
AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN
ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA,
UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD
AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS
AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED
ARAB EMIRATES UNITED KINGDOM UNITED
STATES UNITED STATES MINOR OUTLYING
ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET
NAM VIRGIN ISLANDS, BRITISH VIRGIN
ISLANDS, U.S. WALLIS AND FUTUNA WESTERN
SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE
Agent Phone
Agent Fax
Agent Email
Domain
Registration Details & Customer
Information
Domain
Info Package*
Beware!! of
web
hosting companies who do not register customer as the owner. Acidprint
registers customer as the rightful owner.
Please see our domain
page for pricing. Our staff will confirm the pricing via the
order confirmation.
Domain*
www .
eg. abc.com, abc.com.sg, abc.sg
Domain Extension*
Others COM NET ORG BIZ INFO NAME COM.SG ORG.SG NET.SG
PER.SG
.SG
Please perform an availability check above. Thank you.
Other Domain
Extension
We support most domain
names. If the domain extension you want is not listed above (eg. .com.my,
.co.uk, etc).
Please select 'others' and enter your preferred domain extension
here.
Domain Type
Apply
New Domain Domain Transfer Handling
domain myself. Please provide DNS info.
Contact Person*
Full
Organisation Name
This
is required if you are applying on behalf of an organisation. It
is also compulsory if you are using a .SG domain.
RCB/ROS No.
MOE Reg No.
IDA Reg No.
This is required
only for .SG
domain name. Enter your Business, Company or Society registration number.
For .EDU.SG, please also enter your MOE registration number. For .NET.SG
application, please also enter your IDA registration number.
Address*
Address 2
City
State
Postal/Zip Code*
Country*
AFGHANISTAN ALBANIA ALGERIA AMERICAN
SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA
AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA
AND HERZEGOVINA BOTSWANA BOUVET
ISLAND BRAZIL BRITISH
INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA
FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE
VERDE CAYMAN ISLANDS CENTRAL
AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS
ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO,
THE DEMOCRATIC REPUBLIC OF THE COOK
ISLANDS COSTA RICA COTE
D'IVOIRE CROATIA CUBA CYPRUS CZECH
REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN
REPUBLIC EAST TIMOR ECUADOR EGYPT EL
SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND
ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH
GUIANA FRENCH POLYNESIA FRENCH
SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUINEA GUINEA-BISSAU GUYANA HAITI HEARD
ISLAND AND MCDONALD ISLANDS HOLY SEE
(VATICAN CITY STATE) HONDURAS HONG
KONG HUNGARY ICELAND INDIA INDONESIA IRAN,
ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JORDAN KAZAKSTAN KENYA KIRIBATI KOREA,
DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA,
REPUBLIC OF KUWAIT KYRGYZSTAN LAO
PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN
ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAU MACEDONIA,
THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL
ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA,
FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS
ANTILLES NEW CALEDONIA NEW
ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK
ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN
TERRITORY, OCCUPIED PANAMA PAPUA
NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO
RICO QATAR REUNION ROMANIA RUSSIAN
FEDERATION RWANDA SAINT
HELENA SAINT KITTS AND NEVIS SAINT
LUCIA SAINT PIERRE AND MIQUELON SAINT
VINCENT AND THE GRENADINES SAMOA SAN
MARINO SAO TOME AND PRINCIPE SAUDI
ARABIA SENEGAL SEYCHELLES SIERRA
LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON
ISLANDS SOMALIA SOUTH
AFRICA SOUTH GEORGIA AND THE SOUTH
SANDWICH ISLANDS SPAIN SRI
LANKA SUDAN SURINAME SVALBARD
AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN
ARAB REPUBLIC TAIWAN, PROVINCE OF CHINA TAJIKISTAN TANZANIA,
UNITED REPUBLIC OF THAILAND TOGO TOKELAU TONGA TRINIDAD
AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS
AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED
ARAB EMIRATES UNITED KINGDOM UNITED
STATES UNITED STATES MINOR OUTLYING
ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIET
NAM VIRGIN ISLANDS, BRITISH VIRGIN
ISLANDS, U.S. WALLIS AND FUTUNA WESTERN
SAHARA YEMEN YUGOSLAVIA ZAMBIA ZIMBABWE
Phone*
You can
enter more than one phone number.
Fax
Email*
Admin Contact*
Agent
- On behalf of customer Customer / Domain
Registrant
Billing Contact*
This is the
domain name billing contact and is relevant for .SG and other domain
name not registered with Acidprint.
If the domain name is included in the
package or purchased from Acidprint (eg. .com, .biz,
etc), we will follow the server billing contact above.
Agent - On
behalf of customer Customer / Domain
Registrant
Technical Contact*
Agent
- On behalf of customer Customer / Domain Registrant Acidprint
- Recommended
Remarks
Remarks
If you need
to provide any special instruction or require add-ons that are not in
your package such as more space, more email a/cs, etc, please
indicate here.
For domain parking, please state the domain of the server to park at.
Agreement
Declaration
Yes , I have read the terms
& conditions set forth by Acidprint and agree to abide by
them. In addition, if I am using a .SG domain, I have also read and accepted the terms for
SGNIC's agreement .
By pressing the "SUBMIT button
below, I
1. Authorize Acidprint to process this order in accordance with
the terms stipulated above.
2. Certify that the particulars given above are true and correct to my
knowledge.
Send no money now. We will confirm your order via email/phone. We
thank you for your business.