AVS Networks - Web Hosting Services - Web Hosting Application Form

How do I get my account activated within 5 minutes?
Fill in the following form now to order your new virtual server. You will receive an email with your new account details shortly after confirming this order. You will be ready to publish your web site as soon as your receive this email.

Domain Name Details.

Domain Name: www.
(Remember the extension .com.au)

Package Details.

The user name must start with alpha characters and consist of alpha characters, numeric characters, the minus sign '-' or underline '_'. Alpha characters must be in lower case. The length of User Name should be no more than 8 characters and preferably related to the domain name.

User Name:
Domain Package:
Discounts:	Pay in advanced and get the following discounts: 6 months - 5% discount 12 months - 10% discount 24 months - 20% discount
Contract Length:	* Web & Email Only package are only payable yearly or two-yearly. Orders will not be process otherwise

Name (first,last):
Company:
Address:
City:
State:
Postcode:
Country:
Phone Number:
Fax / Mobile:	(Optional)
Important Notice: We will not accept orders with a main email address @Hotmail.com, @yahoo.com or any other free email providers. You are welcome to use them as an Off Network email address but you must use your ISP's email address in the following blank. We will block your order if you use a free email provider.
E-mail:
Please enter an additional e-mail address below. This address should originate outside of our network, providing us with an alternatative way to contact you via e-mail.
Off Network E-mail:

Payment Information.

Please note that all payment details can be found at http://pay.avs.net.au

Credit Card

Cheque

Direct Deposit

Postal Note

BarterCard

Please note that the following screen will say 'Check' as the Payment Type. This is fine.

Where did you find us?

We want to know how you found us! Could you please include a short description below of how you found us and why you chose AVS Networks for your domain and hosting services?

* Please do not ask questions at this point - Please email support@avs.net.au or accounts@avs.net.au. If you were referred by an affiliated web site, please include their domain name above.

Agreement: All customers of AVS must agree to our policies before setting up there account. The agreement can be found here: AVS Agreement

By proceeding to the next step you are stating that you have read and agree to our policies.

Call us - 1800 248 000