Hosting Application Your Name (required) Your Email (required) Your Phone number (required) Your Fax (required) Your Address line 1 (required) Your Address line 2 (required) Your City (required) Your Postal Code (required) Please fill in your ID number Your Message BASIC (R90p/m)STANDARD (R149p/m)ADVANCED (R279p/m) Do you have an existing domain name? if not please include some ideas below. Please provide company name and registration for invoicing Are you human?