Application Form - Gold

Gold Application Form

R65/month
Free Setup
1000 Mb of Storage Space
2000 MB Bandwidth
20 Email Accounts
24/7 support

Individual

Company

Company name

Registration No:

VAT No:

First Name

Last Name

Contact No

ID / Passport No

Address

City

State

Zip Code

Country

Radio Field

Transfer your domain from another registrar

I will use my existing domain and update my nameservers

Please enter required domain name

By clicking on the Submit button below I understand that all invoices will be billed in advance each month. Accounts need to be paid in advance. Accounts paid before the 1st of the month, will be active for that month. Unpaid accounts will be suspended and re-connection fee may apply after the payment is received.
This contract may be cancelled by me/us by giving you (Riebens Computers Pty Ltd) a calendar’s month in writing sent to office@riebens.com, but I/we understand that I/we shall not be entitled to any refund of amounts which have been paid while this contract was in force if these amounts are legally owed to Riebens Computers Pty Ltd.
I understand that this is a legal agreement and it is binding. I have read and understand all the terms and conditions located at www.riebenshost.co.za.

I have read and agree to the Terms and Conditions and Privacy Policy