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Application Form
Webhosting Service
Part 1: Client's Information
* Denotes Compulsory Field
CORPORATE SIGN-UP

Company Name:*
Company Registry Number:*
Company Address:*
Postal Code:*
Contact Numbers:*
Office:
DID:
Mobile:
Facsimile:
Name of Contact Person:*
(name as in NRIC)
NRIC/Passport Number:*
Nature of Business:
(e.g. Manufacturing, Logistics)
Designation:*
Email Address:*
 
Part 2: Web Hosting Requirements
 
Hosting Plan:*
Professional Plan(SGD 5)
SME Plan(SGD 8)
Intensive Plan(SGD 18)
Maximus Plan(SGD 28)
Customised Plan
Domain  Name Registration:* Yes No
Domain  Name:*
 

I certify that I am authorized to register for the abovementioned service. I agree to inform BluDot in writing if the billing address has been changed. I agree that until BluDot has been notified of the above, I shall continue to be responsible for all charges for the service.

I have read and agree to be bound by all the terms and conditions herein as well as BluDot's Terms and Conditions for info-communications services' and such other terms and conditions as may be agreed or accepted by me. I confirm that I have provided full and accurate information to BluDot on this application form.


 

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