1. domain name renewal - Domainz

domainz.gen.nz

1. domain name renewal - Domainz

1. DOMAIN NAME RENEWALBefore you put your preferred domain name on this form you may wish to check if the name is available. This can be doneon our website or by contacting our customer service team on 0800 366 2469 or 64 4 4734567.PreferredDomain name.co.nz$63.24.org.nz$63.24.geek.nz$63.24.school.nz$63.24What level?Yearly price pername GST inclusive..net.nz$63.24.com$69.00.gen.nz$63.24.org$69.00.maori.nz$63.24.net$69.00.ac.nz$63.24.com.au$ 172.502 yearsFor how long?Renew for up to 10years and SAVE.1 year 2 year 3 year5% OFF4 year 5 year10%OFF6 years 7 years 8 years 9 years 10 years12.5%OFFIn some cases the domain name you request may not be available. If you have a second or first choice of domain nameplease enter them below. One of these names will only be registered if your preferred domain name is not available.2 nd choice name 3 rd choice nameThis form is a domain name order form. Registration is subject to availability of the domain name. Domainz does notwarrant that the requested domain name will be available2. NAME HOLDER DETAILSName holder Name:Please ensure the Name holder is listed in the FULL name of either an individual over 18 years or a legally constitutedorganization.If you have an existing Domainz account, enter your NameHolder ID here:First NameLast NameAddress 1:Address 2:SuburbCity Country Post CodePh NumberFax NumberE-mail addressArea &CountrycodeArea &CountrycodeNumberNumberConfirmation of this registration will besent to the email address you statehere.


3. PAYMENTFor New domain name registrations, payment is required upfront. For faxed forms please include your credit card details. If yousend your form in by post, you may choose to attach a cheque or bank deposit record instead. Domain name registrations willnot be processed without payment.TOTAL PAYMENT REQUIREDPAYMENT METHODCard Type(1) Credit Card (circle one):Credit cardnumber:Expiry date:Domain Name Cost $ . (incl GST)TOTAL $ . (incl GST)VISA MASTERCARD AMEX DINERS BANKCARD/ / // Full name on card:I authorise Domainz to deduct:$……………………………………from my credit card(2) ChequeSignature:I have attached a cheque for:$……………I have attached record showing a bank(3) Direct Credit$……………deposit of:Domainz will accept payments directly into our bank account. Please ensure that you reference your full Customer/NameHolder ID and Name Holder name so the payment can be allocated against the correct account:Bank: BNZ Address: 1 Willis Street, Wellington A/C: 02 0500 0770853 0014 . WARRANTY, AUTHORISATION AND SIGNATUREWhen registering a name for an organization this form may only be signed by an ‘Authorised Officer’ of the Name holder /Registrant (e.g.) Chief Executive Officer, Chief Operating Officer, Financial Controller, Chief Financial Officer, Managing Director,Company Secretary, General Manager or Company Director. When the Name holder / Registrant is an individual, the Nameholder / Registrant themselves must sign.Today’s DateCompany/Organisation(if applicable)Full NamePositionSignatureBy agreeing to and signing this form, you warrant that you have read and accept the Domainz Terms of Service..nz domain names http://www.domainz.net.nz/Domainz.asp?Content=Termsgtld domain names http://www.melbourneit.com.au/policies/gtldtermcond.php3Congratulations for registering your domain name.You will receive a confirmation of this registration and log-in details to maintain your domain name willbe emailed to the email address you have provided.To manage your domain name remember to:- Bookmark our website www.domainz.net.nz to access your control panel.- Keep your login details in a safe place.- Renew your domain name before expiry date to avoid cancellation.- Keep your contact details up to date to be notified of renewal terms.PLEASE FAX THE COMPLETED FORM TO DOMAINZ: + 64 4 473 4569OR POST TO DOMAINZ, PRIVATE BAG 1810, WELLINGTON, NEW ZEALAND(c) 2006 Domainz Limited. All rights reservedLevel 11, Simpl House, 40 Mercer St, Wellington, NZwww.domainz.net.nz

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