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Quicksilver For Business

New Domain Name Application Form

DOMAIN FEES
Annual Domain Registration:
$49.50 per year
Setup fee:
$20 per domain ($45 for Premium Linux or NT hosting)
Change requests:
$10 per request (changes to email addresses are free).

Domain applications normally take 2-3 working days to process. You will receive a confirmation email once the application has been successful.

If you want to transfer an existing domain name, please use this form.

Need Help with this form? Ring 0508 774 583 or email hostmaster@quicksilver.co.nz

Please be aware that any information entered on this form may be made public in the .NZ domain register.

Contact & Domain Details
The domain name: Check the spelling please
Your Quicksilver Username: (only if you have an existing account)
If this is a brand new account, please specify what plan you require	Click here for hosting plan details Note: The freeparking plan does NOT include website or email.
Domain name holder Name of company or person who will legally own the domain.
Domain name contact Name of the contact person.
Postal Address
Post Code:
Phone number Areacode + phone number
Fax number Areacode + phone number
Contact email address
Website Details
Will there be a website attached to this domain name?	Note: The freeparking plan does NOT include website or email.
Have you activated the webspace at http://www.quicksilver.co.nz/members/webapply.html ?
What is the username that the webspace is attached to? (usually just your normal Quicksilver username)
Any special instructions regarding the website setup?
Email Details
Will you need email attached to this domain name?
Will all email go to one mailbox, or do you require separate mailboxes?
What email addresses do you require set up? Please specify whether each needs a separate mailbox
Information about email address and mailboxes: A pop is a mailbox with its own username and password An alias is an email address where email is delivered to a pop box Take yourdomain.co.nz (a fictitious) domain name as an example: If there are 3 people there who need their own email accounts (call them mra, mrb and mrc) then we create 3 pop boxes with mra@yourdomain.co.nz, mrb@yourdomain.co.nz and mrc@yourdomain.co.nz. Mr A could also be the sales person - so we could have the alias sales@yourdomain.co.nz delivered to the same mailbox as mra@yourdomain.co.nz
Do you have any other special instructions?
I have read and agree to the Terms & Conditions set out by iServe Ltd. (The Registrar), and Quicksilver Internet (The domain billing agent). I agree to pay the charges of $49.50 per year domain registration, plus $20 setup fee, and any applicable monthly hosting fees.

Phone: 0508 774 583
(Toll free, 8:30am to 10pm, 7 days)
Email: sales@quicksilver.co.nz

Postal Address: PO Box 9635, Newmarket, Auckland, Fax: (09) 523 4091
Physical Address: 11-15 Railway St, Newmarket, Auckland
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