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| ORDER FORM - FLEXI HOST |

 Dear value customer, please fill in the below details to proceed ordering:

  Domain Name      
   
I Want To Order A New Domain Name
   
I Already Own A Domain Name
   
  Please indicate your domain name(s): **
 
   
 
  Hosting Package      
 
 
   
Please Select A Hosting Package
 
Gold ( 1 Year / RM 199 , 2 Years / RM 380 )
Platinum ( 1 Year / RM 380 , 2 Years / RM 680 )
Titanium ( 1 Year / RM 680 , 2 Years / RM 1,280 )
   
How long would you like to take for this package?
 
2 Years 1 Year
 
 
 
  Customer Details      
 
 
 
Please fill up your personal information
Name : **
Designation :
Company Name :
Mailing Address :
Postal Code :
City :
State :
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Telephone Number : **
Fax Number :
Email Address : **
 
 
 
  Payment Infomation      
 
 
 
Please fill up your personal information
Payment Method : Bank Transfer
    Local Cheque
    Maybank 2U
    Direct Bank Into Malayan Banking Berhad
Remarks :
** Payment to : FLYBOXSTUDIO
Maybank Account : 514 383 305 514
** All setup of domains and hosting will only be processed upon receiving payment, either in cash, bank transfers, cheques or telex transfers. For cheque payments and telex transfers, we will proceed upon bank clearance in 3 working days.
 
     
 
 
 
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