Register your domain name

Make sure that if you are only wanting to register your domain name to select "Domain Registration only" in the membership level drop down selection.


Join up for a web site with WebCentral.

Once this form is completed, you will be instantly emailed or faxed
your site details. You can then start configuring your site.

* Denotes Required Fields

Domain Name Information

Your Domain Name:

http://www.*

The Type of Domain:

Legal Company information required for `new .COM.AU` domain names
Company Name:
ABN: eg: ABN 11-000-111-222
OR Business Name:
Business No: eg:BN123456
Registered in:
Business Type:
Company Details
Company:

*

Address 1:

* eg PO Box 111

Address 2:

Suburb:

*

State:

*

Postcode:

*

Country:

*

Phone:

* eg: (02) 555 1122

Customer's Main Contact (Password will be sent to this person)
First Name:

*

Last Name :

*

Business Phone:

* eg: (02) 555 1122

Business Fax:

* eg: (02) 555 1123

Email:

*

Send Site Details:

*

Customer's Secondary Contact
First Name:

Last Name :

Business Phone:

Email:

Membership Level
Please choose your level: Click here for a detailed list of features
*
Do you require Microsoft FrontPage Extensions?
Payment Details

Please complete the payment section below. Please note that if you do not
choose auto debit a $3.50 will be charged to your account each month.

Auto Debit Type:

*

Card Type:

*

Card No:

Card Name:

Expiry:

MonthYear

Three Quick Questions

To help us in our service and marketing efforts, we need you to take 30 seconds
and complete the following 3 questions.

What WebCentral tools have you used to get
to this stage of signing up your account?

*

Where did you hear about WebCentral?

*

What is the main reason for your
purchase of this product?

*

Comments: (Max: 125 characters)
Last Minute
Domain Comments:

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http://www.webcentral.com.au/terms.htm
All prices include GST

 
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