koaladigital.com

Please complete this service order form. No payment is required at this time. Once this form is submitted, you will receive an initial invoice by email. On receipt of payment your account will be setup and available within 48 hours.

Step 1

New Account Setup *Required for new accounts $50.00

Existing customers: Please check the following box and skip to step 7 to add aditional options to your account.

Last Name:
First Name:
Title:
Company:
Address:
City:
Prov/State:
Country:
Postal/Zip Code:
Phone:	ie 604-931-1234
Fax:	ie 604-931-1234
E-Mail:

Same as billing contact:
Last Name:
First Name:
Title:
Company:
Address:
City:
Prov/State:
Country:
Postal/Zip Code:
Phone:	ie 604-931-1234
Fax:	ie 604-931-1234
E-Mail:

Short Description of your Business or Service:
Domain Name:	www. .
Domain Status:	New domain name Transfer existing domain name
Additional Notes:
Where did you hear about us?	Infoseek Alta Vista Yahoo Other Search Engine Web Hosting Related Site Word Of Mouth Other

Secure Sockets Layer (SSL)		$15.00/mth
Shopping Cart (Cart32)	NT and UNIX	$15.00/mth
MSQL $40 Setup 15mb DB	NT only	$35.00/mth
MSQL $40 Setup 100mb DB	NT only	$45.00/mth
Oracle DB $120 Setup 200mb DB	NT and UNIX	$120.00/mth
Realtime Visitor Reports		$5.00/mth
Change Operating System (NT -> UNIX, UNIX -> NT)	NT -> UNIX UNIX -> NT	$60.00 (one time fee)

Please type your full name in the box below. By doing so and
submitting this form to koaladigital.com you are agreeing to the terms, conditions and acceptable use policy set forth by koaladigital.com

Before submitting your order please double-check it for accuracy. Please also make sure you filled out all the required fields.

If you require a new domain name, there will be aregistration fee of $70 USD for 2 years for .com, .net, .org domain and $30 USD thereafter. For all .ca domain names there is a registration fee of $50 CDN