ITCorp Domain Application - IT Corporation

COMPANY OR PERSONAL DETAILS

First Name

Last Name

Company Name

Registration Number

VAT Number

ID Number

Postal Address

Physical Address

Same as Postal Address

Telephone Number

Cellphone Number

Email Address

Alternate Email Address

BILLING DETAILS

Contact Person

Email Address

Telephone Number

DOMAIN INFORMATION

Please select action below -

PAYMENT OPTIONS

Payment

TERMS AND CONDITIONS

I/We Understand:

- The Domain plan I/We have selected,
- That all services provided by IT Corporation must be paid for in advance before the 7th day of the month except by written agreement with IT Corporation Management
- If the account is not in credit the account may be disconnected at the discretion of IT Corporation
- That IT Corporation will always aim to provide the best and most reliable service possible, but cannot be responsible for any loss of service, regardless of the party at fault
- That the account will not be used for any illegal or anti-social purposes, including obscene, abusive, fraudulent, threatening or otherwise unacceptable messages or usage
- Cancellations: All services are subjected to 1 full months Calendar notice and Cancellation form completion.
- All prices are excluding VAT
- E + EO

Full Name

Date