CLIENT & DETAILS Company Name: Contact Person: Telephone: E-mail Address: Cell Number: Fax Number: Physical Address: Postal Address: PACKAGE DETAILS Standard Package @ R69 per month Domain Name: http://www. . co.za com net org Please -select here- TRANSFER MY EXISTING DOMAIN REGISTER MY NEW DOMAIN on your new server. E-MAIL ACCOUNTS Colhit Solutions will pre-setup upto 5 e-mail accounts on your behalf, please specify them here if you have any. E-Mail Address 1: Password: Re-Enter Password: E-Mail Address 2: Password: Re-Enter Password: E-Mail Address 3: Password: Re-Enter Password: E-Mail Address 4: Password: Re-Enter Password: E-Mail Address 5: Password: Re-Enter Password: FEE STRUCTURE Account Creation: R0.00 Transfer Fee: R0.00 Monthly Hosting Fee: R69.00 Local Domain (.co.za) R150.00 (with new registrations only) Intl Domain (.com / .net / .org) R250.00 (with new registrations only) A representative will contact you to confirm this order.