Order a Supahosts Hosting or Domain Name package online

Order Form
Please fill in the appropriate fields in the form below to order any of the Supahosts Hosting and Domain Name packages. If you require any facilities that are not included in the standard packages, or would like us to design your website for you, please contact us to discuss your requirements.
Your Domain Name
If you have already registered your domain name, please tick the appropriate box below. If your name has already been registered for you by another company, we shall supply you with the necessary instructions for transferring this name to our servers. To check the availability of a domain name, please use our Domain Name Checker before filling in this form.

Domain Name:	.
	Please register this name for me.
	This name has already been registered by Supahosts.
	This name has been registered by another company.

Tick this box to point (Alias) your domain name to another hosted account.
	Point this domain name to

Your Hosting Requirements
Please indicate which (if any) of the Supahosts Hosting Packages you would like to order. If you require facilities that are not included in our standard packages, please check the apropriate box below and one of our representatives shall contact you to discuss your requirements.

	I do not require hosting.
	Email Package (£40 + VAT per annum) .
	Entry Level Package (£85 + VAT per annum) .
	Professional Package (£195 + VAT per annum).
	Please contact me to discuss my requirements.
	By: Email Phone

If you selected "Phone" above, please select the date and time you would like us to contact you:
Between: and
Additional Requirements
Please indicate any additional features that you would like to add to your Supahosts Hosting Package.

Please Setup Additional Email account(s).
Account Name (if you require multiple addresses, please enter one per line): Please note that a £10 per annum charge will be made for each additional account added to the Entry Level package.

Please Enable Chilisoft ASP.
Please note that a £25 setup charge will be made.

Please Enable Frontpage Extensions.
Please note that a £25 setup charge will be made.
Your Contact Information
Your Full Name:
Company Name:
Your Email Address:
Phone (Inc Area Code):
Your Address:

Town/City:
County:
Post Code:
Payment Options
Please Select a payment method below.

I have read Supahosts Terms & Conditions.
Fields in bold must be completed