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This form is for existing customers only. Please use the form below to order additional service for your hosting account. All fields with (*) are mandatory and orders can take up to 24 hours to process.

		Required Fields marked with *
Name^*	:
Email^*	:
Daytime Phone Number^*	:
Domain Name^*	:
Account Username^*	:
Account Password^*	:


	Additional Disk Space
	AU$3 per 100MB disk space

	Additional Bandwidth
	AU$5 per 1GB of bandwdith

	Custom Remote Backup Service [details]
	None
	Every 24 hours per account - AU$60/mth
	Every 48 hours per account - AU$35/mth


	Additional Disk Space
	AU$30 per 100MB disk space

	Additional Bandwidth
	AU$50 per 1GB of bandwdith

	Custom Remote Backup Service [details]
	None
	Every 24 hours per account - AU$600/yr
	Every 48 hours per account - AU$350/yr


Shared SSL Activation (Domain name that requires Shared SSL service)
FREE		:
	Please note: Your account may be migrated to a server that has Shared SSL installed. You'll be advised via e-mail.	:
Request Static IP Address
	AU$40/year per IP	:
Extra Email Accounts
	AU$25/year for 20 extra email accounts	:
Switch Primary Domain
	AU$10per switch	:
	New Domain Name :
Account Reset
	AU$10per Reset	:
Account Restoration
	AU$20per Restore	:
Database Restoration
	AU$20	:
	Database Name :	:
Public AWSTATS Setup
	AU$40 per year	:

Additional Comments / Instructions


	I understand and agree that the information provided below will be entered into electronically, and all disclosures, notices or other related communications may be provided by electronic means. I give my consent to receive this Agreement and Communications in an electronic form.


	Please enter your full name as shown on your billing information above to show that you agree to the terms above

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