Ozehosts Main Account Order Form

Contact information:  

First Name:

Last name:

Street address:
State (if other than Australia):   ***Leave blank if you live in the Australia. 
Postal code:
Home Phone:
E-mail: Note: This address where we send billing information
How Did you find us? Who  told you about Us?, (Their domain name?)
Domain Information:  

URL:   http://www.

Only type domain.com (example ozehosts.com)

If this is a new domain who is to handle getting the new name:

Note: Free .com .net or .org for 12 month Terms.

Username for your Account:

Note: No more than 8 characters.

Password for your Account

Note: No more than 16 characters.
Plan Information:  

Which hosting plan:

Which payment plan:

Note: Yearly Customers get 10% off


Billing Information:      

We accept Visa, MasterCard & Bankcard.

Please provide the following details:

Credit card:

Cardholder name:

Card number:

A customer verification number is required for VISA, Mastercard and Bankcard credit cards.
This number is 3 digits in length and can be found printed on the signature strip on the back of your card, after the credit card number. 

Customer Verification Number:

Expiration date:


House Address where the card statement is sent:

The postcode:

Note: Lindsay's Web Creations will appear on your credit card statement.

Transferred Domains: If this is a domain you already own and will be transferring to our servers you will need to contact whoever you registered your domain name with and put our Name Server information as stated below: 

Primary Name Server:      NS1.OZNETHOST.COM
Primary IP Address:
Secondary Name Server:  NS2.OZNETHOST.COM
Secondary IP Address:

Your account will be setup within 24 hours..

Tell a friend about Ozehosts. If they sign up you receive 1 month Free. If you get 10 People to sign up, you get 10 months free!