Choice Hosting - Order Form

Hosting Order Form:

*** Important ***
Before you go ahead and sign up for a hosting package with Choicehosting.co.za, please check the following:

If you are transferring your domain from your current hosting company:

1. Provide written notice of termination to your current Hosting Provider.
2. Settle all outstanding payments with your current Hosting Provider.

If you are registering a NEW DOMAIN:

Please first check domain name availability and prices before submitting this form.

Contact Information: Please Complete the below form

How did you find out about Choice Hosting:

Setup and Payment

Select a Plan to view Payment Options and Discounts

* Free .co.za domain registration: Free "initial" registration, Annual domain renewal fees apply.

Select your hosting plan:

Select the billing term:
Monthly
Yearly

Payment Method:
I agree to an Automatic Debit Order

Domains:
I would like to register a new domain.
I own my own domain and would like to transfer it to Choice Hosting.

Domain name you would like to Register/Transfer:

If Applicable: Additional domain name that you would like to Register/Transfer:

Web Design Services:

I require the services of a professional web designer to design my website!
No thank you, no web design services needed!

Please type in the security number below, this is to prevent spam:

(Click "Apply Now" button when finished)