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HOME > Web & EMail Hosting > Order Form - Hosting Signup
 
Hosting Signup
 
Domain Name
   
I Want To Order A New Domain Name
   
I Already Own A Domain Name
   
Please indicate your domain name(s): **
 
 
Hosting Package
   
Please Select A Hosting Package
 
S-Gold ( 1 Year / RM 200 , 2 Years / RM 380 )
S-Platinum ( 1 Year / RM 360 , 2 Years / RM 650 )
S-Titanium ( 1 Year / RM 700 , 2 Years / RM 1,250 )
   
How long would you like to sign up for this package?
 
2 Years 1 Year
 
Background Information
 
Please fill up your personal information
Name : **
Designation :
Company Name :
Mailing Address :
Postal Code :
City :
State :
Country :
Telephone Number : **
Fax Number :
Email Address : **
 
Payment Information
 
Please fill up your personal information
Payment Method : Bank Transfer
    Local Cheque
    Maybank 2U
    Direct Bank Into Malayan Banking Berhad
Remarks :
** Payment to : GLOBAL SMIHOST
Maybank Account : 514 383 306 958
** All setup of domains and hosting will only be processed upon receiving payment, either in cash, bank transfers, cheques or telex transfers. For cheque payments and telex transfers, we will proceed upon bank clearance in 3 working days.
 
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