Webvisions Virtual Server Order Form
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  • For corporate web and email hosting, please use THIS ORDER FORM instead.
  • Please fill in the information about the owner of the domain even if you are reselling this server. This is required for proper registration of the domain name.

    Section 1
    Webvisions Virtual Server
    Order Form
    For Resellers/Partners Only:

    This Section is for Webvisions Resellers Only. Resellers, please fill this up if you require configuration letters to be sent to you directly.

    Yes, I am a Webvisions Reseller/Partner

    Reseller Organisation/Name:

    Reseller Email Address:

    Domain Name Details:
    This section is required for registration of your domain name with InterNIC or other NICs.)

    Domain Name: [ Check the Availability of a Domain Now! ] Please note that this order page is only for New Top-Level Domain Names (".com" ".net" and ".org")
    www. .    
    No. of Years : {SGD$32.50 per year. Min. registration 2 years. If you enter "2", you will be charged 2 x SGD$32.50 = SGD$65.00}



    Administrative Contact (A person(s) representing the owner of the domain name.)


    Name :
    Company/Org Name:
    Organization Address:
    City :
    State:
    Postal Code:
    Phone:
    Fax:
    Email Address :
    Country:

    Technical Contact (A person(s) managing the technical aspect of the domain name.)


    Please Specify:

    NIC: (Leave blank if unknown)
    Name :
    Company/Org Name:
    Organization Address:
    City :
    State:
    Postal Code:
    Phone:
    Fax:
    Email Address :
    Country:


    Billing Contact (A person responsible for money matters related to the domain name.)


    Please Specify:

    NIC: (Leave blank if unknown)
    Name :
    Company/Org Name:
    Organization Address:
    City :
    State:
    Postal Code:
    Phone:
    Fax:
    Email Address :
    Country:


    Name Servers (Skip this section unless you wish to specify your own set of DNS servers.)

    Primary Name Server:             Primary Name Server IP:  
    Secondary Name Server:       Secondary Name Server IP:


    Virtual Server Details

    The server features and details on all these packages and options can be found at this page.

    Server Options:
    DomXpress Specials - SGD$65.00

    Other Instructions:

    Additional services, if any.

    Alternate arrangements have been made, as indicated by this case number (eg. 044-832)

    How did you hear about us ? (e.g. Straits Times Classifieds, Straits Times Comptimes, Business Times, Yellowpages, Yahoo, Referred by: Paul Allen, Newsgroup)

    Payment Details / Server Terms & Conditions Section 2

    Payment is by Credit Card Only



    Payment via Credit Card:

    Please enter your credit card details.

    Cardholder name:
    Address:
    Postcode:
    Country:
    Tel:
    Email:


    Server Policies
    Webvisions requires that each Virtual Server System User abide by the terms and conditions of the


    Yes, I have read the terms set forth by Webvisions and agree to abide by them. Inaddition, by Pressing the "Submit" button below, I
    • authorize Webvisions to process this server order in accordance with the terms stipulated above.
    • verify that the contents provided above, including payment details are accurate.
    • authorize Webvisions to process my payments as specified above.


    Order processing takes between 1-3 business days. Your server configuration information will be sent to you via E-mail.

    For Billing inquires, please check our Billing Page..


    Order Forms
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