Brisbane City Web Host - Order Web Hosting

When you submit this form, your details are automatically emailed to us. We create your account within 12 hours (you'll receive all your account details as soon as it's created), and send you an invoice, for payment within 14 days. [View our full payment information page]

Hosting Account Registration
Enter the domain that you wish your hosting account to be set up for:
Your Domain Name:
	New Domain Name - I will register it now! [opens up a new window so you can register your domain] Existing Domain - Please delegate name servers for me [We'll call you to get your Domain Key] Existing Domain - I will delegate the name servers myself. Existing Domain - Transfer to Brisbane City Web Host - I will transfer it now! [opens up a new window so you can transfer your domain to Brisbane City Web Host]
Important: You must enter a valid email address here, or you will NOT receive your account details. We strongly recommend you use your ISP email address (e.g. you@yourisp.com.au) to ensure that you have no problems receiving your account details (or at least one that is not connected to the domain you have entered above). Read why here.
E-mail Address:
Retype E-mail Address:
First Name:
Last Name:
Company Name:
Daytime/Contact Ph:
After Hours Ph:
Street Address:
Suburb/Town:
State:	ACT NSW NT QLD SA TAS VIC WA
Postal Code:
Web Site Type:	Click for options Email Only Personal Home Page Business Non-profit organization
Frontpage Extensions:	Not Required Required Don't Know
How did you hear about us?
Enter Referrer ID or Discount Voucher Code:	(optional field - only if someone referred you, or you are using a Discount Voucher)

Please select your billing cycle
Plan Type	Monthly	Quarterly	6 Monthly	Yearly
BrizEmail	$5.50 $49.50 setup	$16.50 Free Setup	$33.00 Free Setup	$66.00 Free Setup
BrizBasic	$22.00 $49.50 setup	$66.00 Free Setup	$132.00 Free Setup	$264.00 Free Setup
BrizBiz	$33.00 $49.50 setup	$99.00 Free Setup	$198.00 Free Setup	$396.00 Free Setup
BrizEcom	$44.00 $49.50 setup	$132.00 Free Setup	$264.00 Free Setup	$528.00 Free Setup
Payment Method	Credit Card (via PayPal - we will send you a link) Cheque/Money Order Bank Transfer / Direct Deposit

Terms of Service (TOS)
Do you agree to our Terms of Service?	Tick the box to indicate you agree.
Important: By ticking the box, you are telling us that you have read our Terms of Service, and that you will abide by them, or risk having your account suspended or cancelled, with no notice and no refund.