Hosting / Domain Name / Web Design Order Form

For printing orders, please contact us at 6852-9402 for no obligation consultation and quotation.

For hosting or domain name, kindly fill up the following form. Most web hosting companies make use of automated system to process order. At the end, each customer is just a account in the computer system

If you have any queries, you are welcomed to call us or email sales@acidprint.com. Do feel free to contact us if you face difficulties filling up the order form.

At Acidprint, we want to get to know all our customers and customers to know us before starting a relationship. It is this personalized service that has allowed us to service our customers many times round. Upon submission, a member of our staff will call you personally to verify the details and understand any further needs you may have.

Account Information
Product Package*
Number of years
Reference Code (if any)
Send Invoice To*
Send Server or Domain Info. To*
Specify who will receive the server configuration information
Payment Method*
Specify who will receive the server configuration information
Agent Information
If you are reselling this package, please complete this portion.
Agent Name
Agent Organisation
Agent Address
Agent Address Line 2
Agent City
Agent State
Agent Postal / Zip Code
Agent Country
Agent Phone
Agent Fax
Agent Email
Domain Registration Details & Customer Information.
Beware!! of web hosting companies who do not register customer as the owner. Acidprint registers customer as the rightful owner. Please see our domain page for pricing. Our staff will confirm the pricing via the order confirmation.
Domain*

eg. abc.com, abc.com.sg, abc.sg
Domain Type*
Contact Person (Full Name)*

eg. abc.com, abc.com.sg, abc.sg
Full Organisation Name

This is required if you are applying on behalf of an organisation. It is also compulsory if you are using a .SG domain.
RCB/ROS No. MOE Reg No. IDA Reg No.

This is required only for .SG domain name. Enter your Business, Company or Society registration number. For .EDU.SG, please also enter your MOE registration number. For .NET.SG application, please also enter your IDA registration number.
Address*
Address 2
City
State
Postal/Zip Code*
Country*
Phone*

You can enter more than one phone number
Fax
Email*
Admin Contact
Billing Contact
Technical Contact
Remarks
If you need to provide any special instruction or require add-ons that are not in your package such as more space, more email a/cs, etc, please indicate here. For domain name without hosting/parking with us, please provide the following info (if any): 1. Pri DNS 2. Pri DNS IP 3. Sec DNS 4. Sec DNS IP
Accept Service Agreement*
- Yes, I have read the terms & conditions set forth by Acidprint and agree to abide by them. In addition, I will also accept all terms and conditions set by the domain registry/registrar.
By pressing the "SUBMIT button below, I
1. Authorize Acidprint to process this order in accordance with the terms stipulated above.
2. Certify that the particulars given above are true and correct to my knowledge.

Send no money now. We will confirm your order via email/phone. We thank you for your business.

Send no money now. We will confirm your order via email/phone. We thank you for your business.