Web Hosting Malaysia - Hosting Order - provider in Kuala Lumpur Malaysia

Call WebHostingMalaysia.com NOW!

Tel:	(603) 7710 5618 / 7618
Fax:	(603) 7729 5618
Address:	Suite 3-21, Level 3,
	Perdana The Place,
	Jalan PJU 8/5G,
	Bandar Damansara Perdana,
	47820 Petaling Jaya,
	Selangor Malaysia.

1. Customer Info

Company Name:

First Name:

Last Name (Surname):

Address:

City:

State:

Zip / Postal Code:

Country:

Phone:

Fax:

E-mail:

Alternative E-mail:

My Hosting Account Domain Name:

* Indicates compulsory fields

2. Registering Domain

Yes, please register this domain for me
Domain www.

3. Sign Up For Hosting Package

One-time Setup Fee of RM50 (US$12) will apply to all Hosting Plans

4. Additional Features

dPackage Name		Duration	Price
dPackage Name		Duration	RM	US$
	d2 Additional POP3 Email Accounts	1 year	50	12
	d5 Additional POP3 Email Accounts	1 year	100	25
	d1 Additional MySQL Database	1 year	200	50

5. Payment Type

	Payment via Cheque / Bank-In
	Only Ringgit Malaysia cheques made payable to eOneNet.com Sdn. Bhd. will be accepted. Cheques / Cash can be banked in to our account: Bank : Malayan Banking Berhad Account No. : 514141 211373 Account Holder : eOneNet.com Sdn Bhd

Payment via Credit Card

6. Special Codes

Reseller ID	:
Discount Promotional Code	: